Active NPI
Sidney S Bernstein, M.D.
- Ophthalmology Physician
- Elgin, IL
National Provider Identifier
1235194408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036-040408
- Practice address
- 1670 Capital St
Suite 100
Elgin, IL 60124-7837 - Phone
- (847) 888-2020
- Fax
- (847) 888-0652
- NPI assigned
- Apr 19, 2006
- Last updated
- Jun 18, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036-040408 | IL | Primary |
Addresses
Primary practice location
1670 Capital St
Suite 100
Elgin, IL 60124-7837
Mailing address
1670 Capital St
Suite 100
Elgin, IL 60124-7837
Phone (847) 888-2020
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-040408 | IL | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245283200000",
"number": "1235194408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 CAPITAL ST",
"address_2": "SUITE 100",
"city": "ELGIN",
"state": "IL",
"postal_code": "601247837",
"telephone_number": "847-888-2020",
"fax_number": "847-888-0652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 CAPITAL ST",
"address_2": "SUITE 100",
"city": "ELGIN",
"state": "IL",
"postal_code": "601247837",
"telephone_number": "847-888-2020",
"fax_number": "847-888-0652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNSTEIN",
"first_name": "SIDNEY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2009-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036-040408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.