Donna B Bernhardt Bainbridge

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

585 Issued in MT

Practice address

University of Montana
Skaggs Building
Missoula, MT 59812-0001

Phone

(406) 243-4006

Fax

(406) 243-4303

NPI assigned

May 20, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Donna B Bernhardt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1337472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1144580515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 SALISH TRL",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598706501",
            "telephone_number": "406-777-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF MONTANA",
            "address_2": "SKAGGS BUILDING",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598120001",
            "telephone_number": "406-243-4006",
            "fax_number": "406-243-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNHARDT BAINBRIDGE",
        "first_name": "DONNA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-20",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344981",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE FUND",
            "identifier": "810489624",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "BERNHARDT",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donna Ruth Cook Bergren, PMHNP-BC
• Rachel Marie Bergstrom
• Elizabeth Anne Beringer, MSPT
• Daniel Dixon Berk
• Jon Berman, R.PH.
• Autumn L. Berry, LCSW
• Bradley D Berry, MD
• Kate Elizabeth Berry
• Timothy D. Berry, PH.D.
• Jefferson Berryman

• Physical Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.