Individual provider Active NPI

Douglas A Bernard, MD

  • Orthopaedic Surgery Physician
  • New Iberia, LA
National Provider Identifier
1114942307
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
05302R Issued in LA
Practice address
510 Jefferson Terrace Blvd
Suite a
New Iberia, LA 70560-4948
Phone
(337) 365-8161
Fax
(337) 365-0294
NPI assigned
Jul 12, 2006
Last updated
Aug 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 05302R LA Primary
Occupational Medicine Physician 2083X0100X 05302R LA

Addresses

Primary practice location

510 Jefferson Terrace Blvd
Suite a
New Iberia, LA 70560-4948

Mailing address

510 Jefferson Terrace Blvd
Suite a
New Iberia, LA 70560-4948
Phone (337) 365-8161

Other identifiers 1

IdentifierTypeStateIssuer
1311197MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20101123000356 LA Practitioner - Orthopedic SurgeryPractitioner - Other (Physician) 4880640317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical Branch at Galveston, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

510 Jefferson Ter
A
New Iberia, LA 70560-4948

510 Jefferson Terrace Blvd a
New Iberia, LA 70560-4948

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05302RLAMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iberia Orthopedic Group a Professional Corporation Orthopaedic Surgery CurrentSince Jul 1, 1966 Accepting new patients
New Iberia Surgery Center LLC PastSince Jan 16, 2001 Accepting new patients

Locations

510 Jefferson Ter
Ste A
New Iberia, LA 70560
Phone (337) 365-8161

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1114942307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 JEFFERSON TERRACE BLVD",
            "address_2": "SUITE A",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604948",
            "telephone_number": "337-365-8161",
            "fax_number": "337-365-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 JEFFERSON TERRACE BLVD",
            "address_2": "SUITE A",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604948",
            "telephone_number": "337-365-8161",
            "fax_number": "337-365-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "DOUGLAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "05302R",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "LA",
            "license": "05302R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1311197",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.