Provider Demographics
NPI:1992792907
Name:BERNARD, RENALD M (MD)
Entity type:Individual
Prefix:DR
First Name:RENALD
Middle Name:M
Last Name:BERNARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 3014
Mailing Address - Street 2:1215 DUFF AVE MCFARLAND CLINIC, PC
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-3014
Mailing Address - Country:US
Mailing Address - Phone:515-239-4400
Mailing Address - Fax:515-239-4446
Practice Address - Street 1:1215 DUFF AVENUE
Practice Address - Street 2:MCFARLAND CLINIC PC
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-3014
Practice Address - Country:US
Practice Address - Phone:515-239-4400
Practice Address - Fax:515-239-4446
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2012-07-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA23450207Q00000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA2206623Medicaid
IA2206623Medicaid
IAA02245Medicare UPIN