Individual provider · NPI-1

Dr. Robert Dale Bernauer Jr., M.D.

Family Medicine · Lake Charles, LA

NPI number1538434733
StatusActive
Last updated in NPPESFeb 7, 2025

Details

NPI
1538434733
Entity type
Individual (NPI-1)
Name
Dr. Robert Dale Bernauer Jr.
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 21, 2012
Certification date
Feb 6, 2025
Last updated
Feb 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD207933LAYes
207P00000X Emergency MedicineGETP.200984LA
208600000X SurgeryMD207933LA
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

4345 Nelson Rd
Lake Charles, LA 70605

Phone 337-480-7900 · Fax 337-480-7901

Mailing address

2825 Country Club Rd Ste 1
Lake Charles, LA 70605-5915

Phone 337-444-5867

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