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Ryan Joseph Bernal

Student in an Organized Health Care Education/Training Program

Student, Health Care

PECOS Enrollment

This provider is enrolled in PECOS as RYAN BERNAL.

Based on the most recent information from CMS, provider Ryan Joseph Bernal is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1710672092
Provider Type
Individual
Full Name
Bernal, Ryan Joseph
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/11/2023
Last Updated
4/11/2023

Contact Information

Practice Location

1 Wyoming St, Dayton, OH 45409-2711

(937) 208-8000

Unlisted Fax

Mailing Location

3179 Kelly St SW, Bolling Afb, DC 20032-7464

(385) 625-7123

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Ryan Joseph Bernal

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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