Individual provider Active NPI

Brent Alexander Bernard, PA-C

  • Physician Assistant
  • Toledo, OH
National Provider Identifier
1013257005
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003722 Issued in OH
Practice address
4405 North Holland Sylvania Rd
Toledo, OH 43623
Phone
(419) 517-0146
Fax
(419) 517-0147
NPI assigned
Feb 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.003722 OH Primary

Addresses

Primary practice location

4405 North Holland Sylvania Rd
Toledo, OH 43623

Mailing address

3436 Moffat Rd
Toledo, OH 43615
Phone (614) 595-0563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140214000630 OH Practitioner - Physician Assistant 8729217757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FCHC Medical Care, LLCGroup PAC ID 8022018704, 58 clinicians

Practice addresses (Care Compare)

735 S Shoop Ave
Wauseon, OH 43567-1735
Phone (419) 335-2663

Hospital & facility affiliations

  • Fulton County Health Center Hospital, Wauseon, OH, CCN 361333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.003722OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
FCHC Medical Care, LLC CurrentSince Apr 1, 2025 Accepting new patients
Greater Toledo Urgent Cares, LLC. CurrentSince Feb 14, 2013 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

L3493
Columbus, OH 43260

L4133
Columbus, OH 43260

4405 N Holland Sylvania Rd
Ste 101
Toledo, OH 43623
Phone (419) 475-1600

2627 Tremainsville Rd
Toledo, OH 43613
Phone (419) 214-0790

4405 N Holland Sylvania Rd
Toledo, OH 43623
Phone (910) 297-7270

725 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2015

735 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2663

Interoperability endpoints

  • Direct secure messaging: brent.bernard@fultoncounty.medicity.net

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1013257005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 MOFFAT RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43615",
            "telephone_number": "614-595-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 NORTH HOLLAND SYLVANIA RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43623",
            "telephone_number": "419-517-0146",
            "fax_number": "419-517-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "BRENT",
        "middle_name": "ALEXANDER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.