Bernard N Long, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

579 Issued in ND

Practice address

Hwy 34 & 47
Ft Thompson, SD 57339-0200

Phone

(605) 245-1529

Fax

(605) 245-2150

NPI assigned

Jul 17, 2006

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215955547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24146 349TH AVE",
            "city": "PUKWANA",
            "state": "SD",
            "postal_code": "573706006",
            "telephone_number": "605-245-1529",
            "fax_number": "605-245-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 34 & 47",
            "city": "FT THOMPSON",
            "state": "SD",
            "postal_code": "573390200",
            "telephone_number": "605-245-1529",
            "fax_number": "605-245-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "BERNARD",
        "middle_name": "N",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna J Kocer, RDH,BS
• Renette Lynne Kroupa, PA-C
• Kathleen Joy Kundel, RT(R)(M)
• Marlene A Lacayo, DDS
• Xinyu Daniel Li, MD, PHD
• Lona Marie Longbrake, RN
• Sherry Lee Lulf, RN
• Jennifer Lynn Luper-Lark, ATC
• Margaret Jane Mall, RD LN BC-ADM CDE
• John L McFee Jr., MD

• Physical Therapist in Ft Thompson, SD
• Providers in Ft Thompson, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.