Individual provider Active NPI

Marcia Charmin Mierez Bernard, D.O.

  • Family Medicine Physician
  • Moulton, AL
National Provider Identifier
1013964261
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO1296 Issued in AL
Practice address
202 Hospital St
Moulton, AL 35650-1218
Phone
(256) 974-2272
NPI assigned
May 30, 2006
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 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 0S 9130 FL
Family Medicine Physician 207Q00000X DO1296 AL Primary

Addresses

Primary practice location

202 Hospital St
Moulton, AL 35650-1218

Mailing address

510 Creek Bed Circle NW
Madison, AL 35757-6348
Phone (305) 509-2841

Other identifiers 3

IdentifierTypeStateIssuer
2697131-00MedicaidFL
1013964261OtherALNPI
142883MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20121022000771 AL Practitioner - Family Practice 7911955943 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relias Emergency Medicine Specialists of Hamilton, LLCGroup PAC ID 0547599490, 9 clinicians
Emergency Services of Mobile, PCGroup PAC ID 5092968255, 33 clinicians

Practice addresses (Care Compare)

1256 Military St S
Hamilton, AL 35570-5003
Phone (205) 921-6200

1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 629-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO1296ALMDFamily Medicine Physician
0S 9130FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services of Mobile PC CurrentSince Aug 1, 2024 Accepting new patients
Relias Emergency Medicine Specialists of Fayette, LLC CurrentSince Mar 30, 2023 Accepting new patients
Attentus Moulton, LLC Current Accepting new patients
Attentus Moulton, LLC CurrentSince Sep 6, 2022 Accepting new patients
Sycamore Lakeland LLC CurrentSince Oct 1, 2025 Accepting new patients
Paragon Contracting Services LLC CurrentSince Feb 1, 2023 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Jun 14, 2013 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Jun 14, 2013 Accepting new patients
Relias Hospitalist Medicine Specialists of Hamilton LLC CurrentSince Apr 29, 2024 Accepting new patients
Relias Emergency Medicine Specialists of Hamilton, LLC CurrentSince Mar 30, 2023 Accepting new patients
Happi Health Family Medicine CurrentSince Dec 1, 2021 Accepting new patients
Attentus Moulton, LLC Current Accepting new patients
Happi Health Family Medicine CurrentSince Dec 1, 2021 Accepting new patients
American Family Care, LLC Current Accepting new patients
Attentus Moulton, LLC CurrentSince Sep 6, 2022 Accepting new patients
Lakeland Physicians LLC Family Medicine CurrentSince May 30, 2022 Accepting new patients
Doctor's Medical Center, LLC Family Medicine PastSince Mar 22, 2020 Accepting new patients
Lakeland Physician Practices LLC Family Medicine Past Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400

1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

42024 Highway 195
Haleyville, AL 35565
Phone (205) 485-7371

1256 Military St S
Hamilton, AL 35570
Phone (205) 921-6200

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

46 Shields Rd
Huntsville, AL 35811
Phone (256) 382-3680

807 Franklin St SE
Huntsville, AL 35801
Phone (256) 333-3044

813 Franklin St SE
Huntsville, AL 35801
Phone (256) 519-3650

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

22014 Highway 5
Lynn, AL 35575
Phone (205) 485-7113

7583 Wall Triana Hwy
Madison, AL 35757
Phone (256) 830-5777

202 Hospital St
Moulton, AL 35650
Phone (256) 974-2200

40 Medical Cir
Moulton, AL 35650
Phone (256) 974-0606

150 Gilbreath Dr
Oneonta, AL 35121
Phone (205) 274-3000

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

Organizations & group practices 18

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

View all 18

Hospital & facility affiliations 2

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1013964261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 CREEK BED CIRCLE NW",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357576348",
            "telephone_number": "305-509-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 HOSPITAL ST",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356501218",
            "telephone_number": "256-974-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIEREZ BERNARD",
        "first_name": "MARCIA",
        "middle_name": "CHARMIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "0S 9130",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO1296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2697131-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013964261",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142883",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moulton, AL

Sources for this page

Verify at the official NPI Registry.