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Contact Information

WANDA K BERNREUTER, MD
619 19TH STREET SOUTH
BIRMINGHAM, AL35233
 Phone: 205-934-4011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for WANDA K BERNREUTER · (Female)

NPI Number 1144275686
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2006
Last updated 07/05/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 10675
  • AL Medicaid 009910035
  • AL Medicaid 009934819
  • AL Medicaid 009934882
  • AL Other 000015973 BLUE CROSS
  • AL Other 051505888 BLUE CROSS
  • AL Other 051511503 BLUE CROSS
  • AL Other 051512726 BLUE CROSS
  • AL Other 010033CC76033 SECTION 1011
  • AL Other C76033 VIVA
  • MS Other 00124781 MISSISSIPPI MEDICAID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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