Bernard N. Harris, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

CFE025308 Issued in CA

Practice address

502 21St St
Santa Monica, CA 90402-3034

Phone

(310) 393-7758

Fax

(310) 393-7758

NPI assigned

Aug 4, 2011

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1194004416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 21ST ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904023034",
            "telephone_number": "310-393-7758",
            "fax_number": "310-393-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 21ST ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904023034",
            "telephone_number": "310-393-7758",
            "fax_number": "310-393-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BERNARD",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "CFE025308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF MEDICAL EXAMINERS",
            "identifier": "CFE025308",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harper Pointe Psychological & Testing
• Harriet T Cokely MD Inc
• Dante Harrington
• Schinal Juanita Elaine Harrington
• Ashley Nicole Harris, MS
• Kennedi Breelle Harris
• Lena Harris, PSYD
• Staci Bree Harris, DPT
• Susan Shane Harris, PH.D.
• Vanessa Harris

• General Practice Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.