Provider Type Icon

BERNARDITA R ENRIQUEZ M.D. NPI 1952395972


NPI Information

NPI: 1952395972
Provider Name: BERNARDITA R ENRIQUEZ, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
2750 11TH ST
ROCK ISLAND, IL
ZIP 61201
Phone: (563) 327-2100
Get Directions

Bernardita R Enriquez, M.D. is a pediatrics in Rock Island, IL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Bernardita R Enriquez, M.D. NPI is 1952395972. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2750 11TH ST
ROCK ISLAND, IL
ZIP 61201-216
Phone: (563) 327-2100
Fax: (563) 327-2102

The enumeration date for this NPI number is 9/6/2005 and was last updated on 3/7/2023.


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
1208000000XPediatrics036-066809ILLINOISYes
2208000000XPediatrics34871IOWANo
32080P0204XPediatricsPediatric Emergency Medicine036-066809ILLINOISNo

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 Other Provider Identifier Issuer
1421060724OTHERIOWABILLING TAX ID# FOR CHC
20568980MEDICAIDIOWA
3421606724A5OTHERILLINOISJOHN DEERE HEALTH
40568998MEDICAIDIOWA
5421060724005MEDICAIDILLINOIS
6036066809MEDICAIDILLINOIS
78122859OTHERILLINOISILLINOIS BC/BS
893612OTHERIOWAIOWA BC/BS SEEN IN RI
9093469OTHERHEALTH ALLIANCE #
10336031012OTHERILLINOISCONTROLLED SUBSTANCE #
11IL01A5OTHERILLINOISJOHN DEERE EDI#

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.