DR. OUEDRAEGO BASGA BERNARD (NPI# 1386747160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386747160 |
| Entity Type | Individual |
| Full Name | DR. OUEDRAEGO BASGA BERNARD |
| Credential | MD |
| Practice Address |
7210 W Main St Belleville IL 62223-3038 |
| Practice Telephone | 6183988840 |
| Practice Fax Number | 6183988847 |
| Mailing Telephone | 6183988840 |
| Mailing Fax Number | 6183988847 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2012-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036061428 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036061428 | 05 |
| Street Address |
7210 W MAIN ST |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62223-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154302115 | Jacqueline S. Aregood | Psychiatry & Neurology | 7210 W Main St, Suite 204, Belleville, IL 62223-3038 | 2005-11-08 |
| 1619529104 | Kelsie J Ferrell | Nurse Practitioner | 7210 W Main St, Belleville, IL 62223-3038 | 2019-07-15 |
| 1285033076 | Loveleena Alex | Nurse Practitioner | 7210 W Main St, Belleville, IL 62223-3038 | 2014-08-18 |
| 1326452582 | James Hobby | Obstetrics & Gynecology | 7210 W Main St, Belleville, IL 62223 | 2014-06-16 |
| 1043525140 | William Madaio | Dentist | 7210 W Main St, Belleville, IL 62223-3038 | 2010-08-12 |
| 1699905620 | Snowber Fazili | Dentist | 7210 W Main St, Suite# 203, Belleville, IL 62223-3038 | 2009-07-24 |
| 1457595837 | Jennifer Rosselli | Pharmacist | 7210 W Main St, Belleville, IL 62223-3038 | 2009-04-29 |
| 1295974277 | Smile Team, PC | Dentist | 7210 W Main St, Suite 203, Belleville, IL 62223-3038 | 2009-02-13 |
| 1376751529 | Walter J Yee | Obstetrics & Gynecology | 7210 W Main St, Belleville, IL 62223-3038 | 2007-05-20 |
| 1861595647 | Vicente M Colon-alcaraz | Obstetrics & Gynecology | 7210 W Main St, Belleville, IL 62223-3038 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699211268 | Vip Home Health Services, LLC | Home Health | 9454 West Main Street Suite B, Belleville, IL 62223 | 2017-01-06 |
| 1659746063 | Carmel Brown | Counselor | 6400 West Main Suite 3f, Suite 3f, Belleville, IL 62223 | 2015-12-10 |
| 1558743138 | Patrick Nakashima-moran | Family Medicine | 2900 Frank Scott Pkwy W Ste 904, Belleville, IL 62223 | 2015-06-19 |
| 1982039921 | Megan Nicole Kirk | Counselor | 8601 W Main St Ste 201, Belleville, IL 62223 | 2013-09-10 |
| 1043555758 | Toni Green | Physical Therapy Assistant | 400 S 74th St, Belleville, IL 62223 | 2012-12-06 |
| 1356626949 | Christopher Patrick Gagen | Pharmacist | 5890 North Belt West, Belleville, IL 62223 | 2011-10-15 |
| 1861777690 | Carmicheal LLC | General Practice | 8601 West Main St., Ste. 101, Belleville, IL 62223 | 2011-10-12 |
| 1275824096 | Pc Associates LLC | Family Medicine | 2129 W. Main St., Belleville, IL 62223 | 2011-04-27 |
| 1053616763 | Abdurrahim M Abdulhadi | Anesthesiology | 4500 Mem. Drive, The Memorial Hospital, Belleville, IL 62223 | 2011-01-12 |
| 1801031695 | Jose Jesus Morales | Anesthesiology | 204 Warrensburg Drive, Belleville, IL 62223 | 2008-12-08 |
| Find all providers in zip 62223 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952953903 | Dr. Nesochi LLC | Internal Medicine | 50 Newark Ave Ste 108, Belleville, NJ 07109-1193 | 2019-07-10 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1730501206 | Maria Bernadette Bahena Yballe | Internal Medicine | 40 Bernice Rd, Belleville, NJ 07109-1508 | 2014-01-17 |
| 1578861787 | Medical Board Prep Inc | Internal Medicine | 5 Franklin Ave Ste 505, Belleville, NJ 07109-3566 | 2011-03-11 |
| 1558695494 | Paul Anthony Rusnack | Internal Medicine | 6 Sixteenth Green Ct, Belleville, IL 62220-4836 | 2009-09-24 |
| 1376785626 | Mustafa Sidali Do PC | Internal Medicine | 380 Union Ave, Belleville, NJ 07109-2122 | 2009-04-01 |
| 1003096140 | Dennis P Larson | Internal Medicine | 509 E Waters Edge Dr, Belleville, IL 62221-7813 | 2007-11-06 |
| 1336273119 | Jawad Khan | Internal Medicine | 8601 West Main Street, Suite 101, Belleville, IL 62223 | 2007-03-15 |
| 1649321183 | Ventrapragada S Mohan | Internal Medicine | 340 W Lincoln St Ste 300, Belleville, IL 62220-1900 | 2007-01-12 |
| 1710075452 | Francis Thomas Molinari | Internal Medicine | 625 Joralemon Street, Belleville, NJ 07109 | 2006-10-10 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62223 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.