Charles M Bernstein, MD

Key facts

NPI

1053302018

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

39184 (KY)

Practice address

1 Medical Village Dr
St. Elizabeth Healthcare
Edgewood, KY 41017

Phone

(859) 301-2423

Fax

(859) 301-2066

NPI assigned

Oct 31, 2005

Sex

Male

Sole proprietor

No

Organizations & group practices 6

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.

• St Elizabeth Medical Center, Inc Physician Assistant · Erlanger, KY · NPI 1932187937
  Medicare reassignment NPD INTERNAL MEDICINE · KY
• Summit Medical Group, Inc Family Medicine Physician · Erlanger, KY · NPI 1750343216
  Medicare reassignment NPD INTERNAL MEDICINE · KY
• St Elizabeth Medical Center, Inc Community/Retail Pharmacy · Florence, KY · NPI 1104699453
  NPD
• Summit Medical Group, Inc. Foot & Ankle Surgery Podiatrist · Crestview Hills, KY · NPI 1043188378
  NPD
• Palliative Care Center of the Bluegrass Inc. Hospice and Palliative Medicine (Family Medicine) Physician · Lexington, KY · NPI 1427129188
  NPD (past) INTERNAL MEDICINE
• Deaconess Healthcare Services Co Internal Medicine Physician · Cincinnati, OH · NPI 1194703173
  NPD (past) INTERNAL MEDICINE

Medicare participation

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cbernstein167257@direct-prd.stelizabeth.com

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 8, 2022.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1053302018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-344-5555",
            "fax_number": "859-344-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL VILLAGE DR",
            "address_2": "ST. ELIZABETH HEALTHCARE",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "41017",
            "telephone_number": "859-301-2423",
            "fax_number": "859-301-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "CHARLES",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35069035",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "39184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2282177",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64046386",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

• Joseph J Behler, PSY D
• Barbara J Bell, APRN
• Katelyn Bell, PHARMD
• Shannon K Bentley, M.D.
• Stephen Oswald Bernardon, MD
• Christopher Jordan Bertke, OD
• Betty Besong- Malange, CNP
• Lucy R Betts, MED
• John D Bever, MD
• Manish S. Bhandari, M.D.

All providers in Edgewood, KY · Internal Medicine Physician in Kentucky