Active NPI
Harry N Bernard, D.P.M. LTD
- Foot & Ankle Surgery Podiatrist
- Saint Charles, MO
National Provider Identifier
1174653554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016002736
- Practice address
- 34 Green Number 4 Dr
Saint Charles, MO 63303-3336 - Phone
- (618) 322-4579
- Fax
- (636) 947-5498
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016002736 | IL | Primary |
Addresses
Primary practice location
34 Green Number 4 Dr
Saint Charles, MO 63303-3336
Mailing address
34 Green Number 4 Dr
Saint Charles, MO 63303-3336
Phone (618) 322-4579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016002736 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016002736 | IL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harry N Bernard DPM LTD | Foot & Ankle Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Saint Charles, MO
- NPI 1396925871
Foot & Ankle Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302739200000",
"number": "1174653554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 GREEN NUMBER 4 DR",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633033336",
"telephone_number": "618-322-4579",
"fax_number": "636-947-5498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 GREEN NUMBER 4 DR",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633033336",
"telephone_number": "618-322-4579",
"fax_number": "636-947-5498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARD",
"first_name": "HARRY",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "D.P.M. LTD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2011-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016002736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016002736",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.