BERNARDITA R ENRIQUEZ M.D.
NPI 1952395972
Pediatrics in Rock Island, IL

Q: What is Bernardita Enriquez's NPI number?

The NPI number for Bernardita Enriquez is 1952395972. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Q: What is Bernardita Enriquez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since September 06, 2005

2750 11TH ST, ROCK ISLAND, IL 61201(563) 327-2100(563) 327-2102 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bernardita R Enriquez M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERNARDITA R ENRIQUEZ M.D. (NPI 1952395972) is an individual pediatrics provider in Rock Island, Illinois, licensed in Illinois (036-066809) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1952395972

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameBERNARDITA R ENRIQUEZCredential: M.D.

Location Address2750 11TH STRock Island, IL 61201-5216

Mailing Address500 W River DrDavenport, IA 52801-1014 · (563) 336-3000 · Fax (563) 327-2102

Phone(563) 327-2100

Fax(563) 327-2102

Sole ProprietorNo

Enumeration DateSeptember 6, 2005

Last NPPES UpdateMarch 7, 2023

✔ NPI 1952395972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in IL · 036-066809✔ Licensed in IA · 34871

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 036-066809 (IL)

2750 11TH ST, Rock Island, IL 61201

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Other Identifiers 11

Other421060724IA · Billing Tax Id# For Chc

Medicaid0568980IA

Other421606724A5IL · John Deere Health

Medicaid0568998IA

Medicaid421060724005IL

Medicaid036066809IL

Other8122859IL · Illinois Bc/bs

Other93612IA · Iowa Bc/bs Seen In Ri

Other093469Health Alliance #

Other336031012IL · Controlled Substance #

OtherIL01A5IL · John Deere Edi#

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COURTNEY BETH LEGENDRE FNP

Nurse Practitioner (Family)