Mariah Bernanke

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

000034855866 Issued in NC

Practice address

7730 Compton CT
Charlotte, NC 28270-9548

Phone

(704) 604-7719

NPI assigned

Aug 28, 2016

Last updated

Aug 28, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1114473378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 COMPTON CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282709548",
            "telephone_number": "704-604-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 COMPTON CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282709548",
            "telephone_number": "704-604-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNANKE",
        "first_name": "MARIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "000034855866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald P. Berling, MD
• Kevin Louis Berman
• Larry F. Berman, MD
• Raul A Bermudez, MS,LAT, ATC, CSCS
• Steven David Bernal, M.D.
• Heidi R Bernard, PT
• Joe David Bernard, MD
• Holly Bernardini, DO
• Sherry Lynne Bernardo, CRNA
• Meaghann Bernardy, MD

• Athletic Trainer in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.