Active NPI
Manuel S Bernardo M D Inc
- Internal Medicine Physician
- Oregon, OH
National Provider Identifier
1124344643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35034078
- Legal business name
- MANUEL S BERNARDO M D INC
- Practice address
- 3515 Navarre Ave
Oregon, OH 43616-3429 - Phone
- (419) 691-5484
- NPI assigned
- Apr 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manuel S Bernardo, M.D.
- Title
- President
- Phone
- (419) 691-5484
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35034078 | OH | Primary |
Addresses
Primary practice location
3515 Navarre Ave
Oregon, OH 43616-3429
Mailing address
PO Box 167879
Oregon, OH 43616-7879
Phone (419) 691-5484
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0227703 | Medicaid | OH | |
| 1265496038 | Other | OH | NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Perrysburg, OH
- NPI 1629398896
-
- Foot & Ankle Surgery Podiatrist
- Oregon, OH
- NPI 1316105018
-
- Foot & Ankle Surgery Podiatrist
- Midland, TX
- NPI 1942592803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270684800000",
"number": "1124344643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 167879",
"city": "OREGON",
"state": "OH",
"postal_code": "436167879",
"telephone_number": "419-691-5484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 NAVARRE AVE",
"city": "OREGON",
"state": "OH",
"postal_code": "436163429",
"telephone_number": "419-691-5484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANUEL S BERNARDO M D INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-08",
"last_updated": "2010-04-08",
"status": "A",
"authorized_official_last_name": "BERNARDO",
"authorized_official_first_name": "MANUEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "419-691-5484",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "OH",
"license": "35034078",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0227703",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1265496038",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oregon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.