Basic Information
| Provider Information | |||||||||
| NPI: | 1114990298 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BERN | ||||||||
| FirstName: | MURRAY | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 933 BRADBURY DR SE | ||||||||
| Address2: | SUITE 2222 | ||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871064374 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5052723120 | ||||||||
| FaxNumber: | 5052728060 | ||||||||
| Practice Location | |||||||||
| Address1: | UNM CANCER CTR | ||||||||
| Address2: | MSC 07-4025 1201 CAMINO DE SALUD | ||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871310001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5059250404 | ||||||||
| FaxNumber: | 5059250408 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/09/2006 | ||||||||
| LastUpdateDate: | 08/11/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | 34117 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 207RH0003X | MD2013-0914 | NM | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
ID Information
| ID | Type | State | Issuer | Description | 1114990298 | 01 | MA | UNITED HEALTH CARE | OTHER | 2042339 | 01 | MA | HEALTH NET | OTHER | 1114990298 | 01 | MA | AETNA | OTHER | 30004082 | 01 | NH MEDICARE PROGRAM | OTHER | 718019 | 01 | MA | TUFTS | OTHER | AA128617 | 01 | MA | HARVARD PILGRIM | OTHER | 1114990298 | 01 | MA | FALLON HEALTH | OTHER | 2042339 | 05 | MA | MEDICAID | 29348791 | 01 | MA | CIGNA | OTHER | 830002957 | 01 | MA | RR MEDICARE | OTHER | M08806 | 01 | MA | BCBA | OTHER |