Individual provider Active NPI

Bjorn Bengt-Gunnar Bernhardsen, MD

  • Emergency Medicine Physician
  • Fort Stewart, GA
National Provider Identifier
1083142426
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
296301 Issued in NY
Practice address
1601 Harmon Ave
Fort Stewart, GA 31314-5641
Phone
(912) 435-6965
NPI assigned
May 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 296301 NY Primary

Addresses

Primary practice location

1601 Harmon Ave
Fort Stewart, GA 31314-5641

Mailing address

1601 Harmon Ave
Fort Stewart, GA 31314-5641
Phone (912) 435-6965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN, FL, NC, VA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20210915002047 GA Practitioner - Emergency Medicine 3173860327
I20220602000370 TN Practitioner - Emergency Medicine 3173860327 Reassigns benefits to 2 organizations
I20240112003754 FL Practitioner - Emergency Medicine 3173860327 Reassigns benefits to 1 organization
I20250129000962 NC Practitioner - Emergency Medicine 3173860327 Reassigns benefits to 1 organization
I20250905003608 VA Practitioner - Emergency Medicine 3173860327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Tulane University School of Medicine, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1643 NW 136 Ave
Sunrise, FL 33323-2857

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
296301NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Candler Urgent Care Centers LLC CurrentSince Aug 2, 2021 Accepting new patients
St Josephs Candler Urgent Care Centers LLC CurrentSince Aug 2, 2021 Accepting new patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Sep 29, 2024 Accepting new patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince May 19, 2022 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Jan 15, 2024 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

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

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

101 Saint Josephs Candler Dr
Ste 100
Pooler, GA 31322
Phone (912) 450-1945

361 Commercial Dr
Savannah, GA 31406
Phone (912) 355-6221

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

481 Interstate Dr
Manchester, TN 37355
Phone (931) 728-3586

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

Organizations & group practices 7

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": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1083142426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "912-435-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "912-435-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNHARDSEN",
        "first_name": "BJORN",
        "middle_name": "BENGT-GUNNAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "296301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stewart, GA

Sources for this page

Verify at the official NPI Registry.