Active NPI
Jose Bernardo, M.D.
- Nephrology Physician
- Indiana, PA
National Provider Identifier
1003813130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD053458L
- Practice address
- 870 Hospital Rd
Indiana, PA 15701 - Phone
- (724) 349-8636
- NPI assigned
- Jul 5, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 21795 | WV | |
| Nephrology Physician | 207RN0300X | 35085454 | OH | |
| Nephrology Physician | 207RN0300X | MD053458L | PA | Primary |
Addresses
Primary practice location
870 Hospital Rd
Indiana, PA 15701
Mailing address
870 Hospital Rd
Indiana, PA 15701-3628
Phone (724) 349-8636
Other practice location 1
A915 Scaife Hl
3550 Terrace Street
Pittsburgh, PA 15261-0001
Phone (412) 647-7157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35085454 | OH | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Medical Inc | Nephrology | Past | Accepting new patients |
| Riverside Medical Inc. | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
-
- Clinical Medical Laboratory
- Steubenville, OH
- NPI 1427216191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1003813130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 HOSPITAL RD",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013628",
"telephone_number": "724-349-8636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 HOSPITAL RD",
"city": "INDIANA",
"state": "PA",
"postal_code": "15701",
"telephone_number": "724-349-8636"
}
],
"practiceLocations": [
{
"address_1": "A915 Scaife Hl",
"address_2": "3550 Terrace Street",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152610001",
"country_code": "US",
"telephone_number": "412-647-7157",
"fax_number": "412-647-6222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERNARDO",
"first_name": "JOSE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WV",
"license": "21795",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OH",
"license": "35085454",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD053458L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indiana, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.