Individual provider Active NPI

Joel A Bernanke, MD MSC

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1215375969
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
276286 Issued in NY
Practice address
26 Court St
Suite 409, Office 4
Brooklyn, NY 11242
Phone
(917) 970-7252
Fax
(917) 970-9418
NPI assigned
Jun 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X U9849 TX
Psychiatry Physician 2084P0800X 0101274129 VA
Psychiatry Physician 2084P0800X 25MA11585500 NJ
Psychiatry Physician 2084P0800X MD210001647 DC
Psychiatry Physician 2084P0800X TPME5541 FL
Psychiatry Physician 2084P0800X D92964 MD
Psychiatry Physician 2084P0800X 276286 NY Primary

Addresses

Primary practice location

26 Court St
Suite 409, Office 4
Brooklyn, NY 11242

Mailing address

26 Court St
Suite 409, Office 4
Brooklyn, NY 11242
Phone (917) 970-7252

Other practice location 1

700 Pennsylvania Ave SE Ste 200
Washington, DC 20003-2493
Phone (917) 970-7252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190311002371 NY Order and Referring Only - PsychiatryPractitioner - Psychiatry 2668711599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD210001647DCMDPsychiatry Physician
TPME5541FLMDPsychiatry Physician
D92964MDMDPsychiatry Physician
25MA11585500NJMDPsychiatry Physician
276286NYMDPsychiatry Physician
U9849TXMDPsychiatry Physician
0101274129VAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1215375969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 COURT ST",
            "address_2": "SUITE 409, OFFICE 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11242",
            "telephone_number": "917-970-7252",
            "fax_number": "917-970-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT ST",
            "address_2": "SUITE 409, OFFICE 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11242",
            "telephone_number": "917-970-7252",
            "fax_number": "917-970-9418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Pennsylvania Ave SE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200032493",
            "country_code": "US",
            "telephone_number": "917-970-7252",
            "fax_number": "917-970-9418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNANKE",
        "first_name": "JOEL",
        "middle_name": "A",
        "credential": "MD MSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "U9849",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101274129",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA11585500",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD210001647",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "TPME5541",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D92964",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "276286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.