National Provider Identifier
Bernard Ellis Shore, MD
Bernard Ellis Shore, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 427-7760.
Profile Overview
- NPI
- 1629019880
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- June 09, 2006
- Last Updated
- October 31, 2008
Practice Location
- 2021 Winton Road South
- Rochester, NY 14618
Phone: (585) 427-7760
Specialties
- Internal Medicine Physician (207R00000X)
- Geriatric Medicine (Internal Medicine) Physician (207RG0300X)
- Hospice and Palliative Medicine (Internal Medicine) Physician (207RH0002X)
Full Record
- NPI
- 1629019880
- Entity Type
- Individual
- Last Name
- Shore
- First Name
- Bernard
- Middle Name
- Ellis
- Credential
- MD
- Mailing Street Address
- 2021 Winton Road South
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618
- Mailing Country
- US
- Mailing Phone
- (585) 427-7760
- Mailing Fax
- (585) 427-2193
- Practice Street Address
- 2021 Winton Road South
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618
- Practice Country
- US
- Practice Phone
- (585) 427-7760
- Practice Fax
- (585) 427-2193
- Enumeration Date
- June 09, 2006
- Last Updated
- October 31, 2008
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Geriatric Medicine (Internal Medicine) Physician (207RG0300X), Hospice and Palliative Medicine (Internal Medicine) Physician (207RH0002X)