Basic Information
| Provider Information | |||||||||
| NPI: | 1538130034 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BERNSTEIN | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | C | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 844 KEMPSVILLE RD STE 204 | ||||||||
| Address2: | |||||||||
| City: | NORFOLK | ||||||||
| State: | VA | ||||||||
| PostalCode: | 235023927 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7572610700 | ||||||||
| FaxNumber: | 7572610701 | ||||||||
| Practice Location | |||||||||
| Address1: | 844 KEMPSVILLE RD STE 204 | ||||||||
| Address2: | |||||||||
| City: | NORFOLK | ||||||||
| State: | VA | ||||||||
| PostalCode: | 235023927 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7572610700 | ||||||||
| FaxNumber: | 7572610701 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/01/2006 | ||||||||
| LastUpdateDate: | 10/13/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/13/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0001X | 0101044961 | VA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Clinical Cardiac Electrophysiology | 207RA0001X | 0101044961 | VA | Y | 207RC0000X | 0101044961 | VA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 0685F | 01 | NC | NC BC/BS | OTHER | 263654 | 01 | VA | UNITED HEALTHCARE/MAMSI | OTHER | PAR | 01 | VA | VIRGINIA HEALTH NETWORK (EVMS HEALTH SERVICES) | OTHER | PAR | 01 | VA | AETNA (EVMS HEALTH SERVICES) | OTHER | PAR | 01 | VA | CORVEL/CORCARE (EVMS HEALTH SERVICES) | OTHER | PAR | 01 | VA | USA MANAGED CARE (EVMS HEALTH SERVICES) | OTHER | PAR | 01 | VA | CIGNA (EVMS HEALTH SERVICES) | OTHER | -001 | 01 | VA | TRICARE/CHAMPUS | OTHER | 15792 | 01 | VA | SENTARA OHP/SHP | OTHER | 250371 | 01 | VA | ANTHEM BC/BS (EVMS HEALTH SERVICES) | OTHER | 006053181 | 05 | VA | MEDICAID | 054003 | 01 | VA | ANTHEM BCBS | OTHER | 890685F | 05 | NC | MEDICAID | 006033679 | 05 | VA | MEDICAID | 249507 | 01 | VA | MAMSI | OTHER | 15600 | 01 | VA | OPTIMA | OTHER | PAR | 01 | VA | MULTIPLAN (EVMS HEALTH SERVICES) | OTHER | PAR | 01 | VA | VIRGINIA PREMIER HEALTH (EVMS HEALTH SERVICES) | OTHER | PAR | 01 | VA | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY (EVMS HEALTH SERVICES) | OTHER |