Larry Wayne Bernard

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

000357 Issued in TN

Practice address

120 Cavette Hill LN
Knoxville, TN 37934-6673

Phone

(865) 777-4000

NPI assigned

Sep 24, 2006

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

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235239807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7028 CHARTWELL RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379312538",
            "telephone_number": "865-938-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CAVETTE HILL LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379346673",
            "telephone_number": "865-777-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "LARRY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "000357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dixon Shaquille Bermudez
• Jacob E Bermudez, MD
• Jessica Yousry Bernaba, DDS
• Jacqueline Kay Bernard, RN
• Jate William Bernard, MD
• Michael P Bernard, MD
• Caitlin Berndt, B.S.
• Candace Berne, M.S. CCC-SLP
• Jacob R Bernier
• Kaitlyn Berogan

• Skilled Nursing Facility in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.