Provider Demographics
NPI:1487783882
Name:KULE, BERNARD JOHN (MD)
Entity type:Individual
Prefix:
First Name:BERNARD
Middle Name:JOHN
Last Name:KULE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1813 HATCHAWAY BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29805-8163
Mailing Address - Country:US
Mailing Address - Phone:803-642-7974
Mailing Address - Fax:803-644-8250
Practice Address - Street 1:1847 HATCHAWAY BRIDGE RD
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29805-8163
Practice Address - Country:US
Practice Address - Phone:803-644-7033
Practice Address - Fax:803-644-8250
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC17237207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine