Jessica Lynne Bernens, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101258826 Issued in VA

Practice address

5833 Harbour View Blvd Ste B
Suffolk, VA 23435-3760

Phone

(757) 337-4018

Fax

(757) 337-4019

NPI assigned

Apr 9, 2012

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Bayview Medical Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Suffolk, VA
  • NPI 1568466209
  NPD (past)
• Plastic Surgery Specialist of Virginia, Inc.

  • Plastic Surgery Physician
  • Suffolk, VA
  • NPI 1619147717
  NPD (past)

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1174889679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 CENTERBROOKE LN STE F PMB 412",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348294",
            "telephone_number": "757-337-4018",
            "fax_number": "757-337-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 HARBOUR VIEW BLVD STE B",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353760",
            "telephone_number": "757-337-4018",
            "fax_number": "757-337-4019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Brambleton Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235101115",
            "country_code": "US",
            "telephone_number": "757-337-4018",
            "fax_number": "757-337-4019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNENS",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101258826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamikka Benson
• Jeffrey Todd Benton, M.ED., ED.S.
• Erich W Berberich, DPM
• Thomas G. Bergfield, M.D.
• Jessica Bernabe-Bentivoglio, CNM
• Christopher John Bertani, MSPT,OCS,CSCS
• Best Choice Home Healthcare
• Best of Care Homehealth LLC
• Better Care Family Homes
• Better Care Family Homes Inc

• All providers in Suffolk, VA
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.