Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | BENTLEY, BERNARD · Bernard Wesley Bentley | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | Bernard | [sources] | |||
Last name | Bentley | [sources] | |||
Middle name | Wesley | [sources] | |||
NPI | 1386161313 · 1790919140 · 1992746044 | [sources] | |||
Registration number | 00G527060 · G 52706 | [sources] | |||
Sector | MD · Physician | [sources] | |||
Address | 715 BAYSHORE DRIVE, APT 406, FT LAUDERDALE, FL 33304 · 715 Bayshore Drive, Apt. 406, Fort Lauderdale, FL, 33304 | [sources] | |||
Last change | Last processed | First seen |
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States of America · DHCS
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
us-mednj-cb7d31afe08fc400db622c3063ce55e32c15af32
· us-medca-0c5e66418ac4281d0da9560c7aac8240376f759a
For experts: raw data explorer
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | New Jersey Office of the State Comptroller | - |
Address | ||
---|---|---|
Full address | Country | |
715 BAYSHORE DRIVE, APT 406, FT LAUDERDALE, FL 33304 | United States of America |
United States of America | Department of Health Care Services | - | - |