Provider Demographics
NPI:1053525923
Name:UCCI, BERNADETTE (MD)
Entity type:Individual
Prefix:DR
First Name:BERNADETTE
Middle Name:
Last Name:UCCI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2706 EAST GRACE ST
Mailing Address - Street 2:APT # 3
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-7358
Mailing Address - Country:US
Mailing Address - Phone:804-771-1606
Mailing Address - Fax:
Practice Address - Street 1:1300 WEST BROAD STREET
Practice Address - Street 2:UNIVERSITY STUDENT HEALTH SERVICES SUITE 2200
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23284-2022
Practice Address - Country:US
Practice Address - Phone:804-828-8828
Practice Address - Fax:804-828-6688
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101237747207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine