DR. BERNARD LOUIS FIORAVANTI MD NPI 1851382246

NPI Information

NPI: 1851382246
Provider Name: DR. BERNARD LOUIS FIORAVANTI, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1510 W 90TH ST N
WAGONER, OK
ZIP 74467
Phone: (918) 519-1155
Get Directions

DR. Bernard Louis Fioravanti, MD is a diagnostic radiology radiology in Wagoner, OK. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Bernard Louis Fioravanti, MD NPI is 1851382246. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1510 W 90TH ST N
WAGONER, OK
ZIP 74467-159
Phone: (918) 519-1155
Fax: (918) 683-4416

The NPI 1851382246 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/3/2005 and was last updated on 2/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	11797	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	100005620A	MEDICAID	OKLAHOMA
2	245508301	MEDICARE PIN	OKLAHOMA
3	F06377	MEDICARE UPIN	OKLAHOMA
4	P00212734	MEDICARE PIN	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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