Individual provider Active NPI

John P Bernot, MD

  • Family Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1003250481
Registry record updated Jul 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME129034 Issued in FL
Practice address
2101 Centre Park West Dr
West Palm Beach, FL 33409-6453
Phone
(561) 242-3009
NPI assigned
Apr 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2016-01284 NC
Family Medicine Physician 207Q00000X ME129034 FL Primary

Addresses

Primary practice location

2101 Centre Park West Dr
West Palm Beach, FL 33409-6453

Mailing address

2101 Centre Park West Dr
West Palm Beach, FL 33409-6453
Phone (561) 242-3009

Other practice location 1

1930 N Peace Haven Rd
Piedmont Plaza Building I, 3rd Floor
Winston Salem, NC 27106-4817
Phone (336) 713-7780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170216001733 NC Practitioner - Family Practice 5890016729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME129034FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients

Interoperability endpoints

  • FHIR API: https://epicarr.healthcare.cigna.com/FHIR-PRD/api/FHIR/R4/
  • Direct secure messaging: jbernot2511103@direct.ccf.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688860800000",
    "number": "1003250481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CENTRE PARK WEST DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096453",
            "telephone_number": "561-242-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CENTRE PARK WEST DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096453",
            "telephone_number": "561-242-3009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 N Peace Haven Rd",
            "address_2": "Piedmont Plaza Building I, 3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271064817",
            "country_code": "US",
            "telephone_number": "336-713-7780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNOT",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-29",
        "last_updated": "2023-07-09",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2016-01284",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME129034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.