Bernhardt Laboratories Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

BERNHARDT LABORATORIES INC

Practice address

3728 Philips Hwy Ste 64
Jacksonville, FL 32207-6898

Phone

(904) 296-2333

NPI assigned

Oct 25, 2021

Organization subpart

No

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

Authorized official

Name

Dina Valladares

Title

Director, Credentialing & Pe

Phone

(561) 514-5822

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Bernhardt Laboratories Inc

  • Clinical Medical Laboratory
  • Jacksonville, FL
  • NPI 1417960626

  5799755278

  Same PAC ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann Allisa Church, MD

  • Dermatopathology Physician
  • St Johns, FL
  • NPI 1205905486
  Medicare reassignment NPD
• Cindy L. Davis, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Jacksonville, FL
  • NPI 1760543243
  Medicare reassignment NPD

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1235893405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11025 RCA CENTER DR STE 300",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104269",
            "telephone_number": "561-514-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3728 PHILIPS HWY STE 64",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322076898",
            "telephone_number": "904-296-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1986 Kingsley Ave",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734442",
            "country_code": "US",
            "telephone_number": "904-296-2333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BERNHARDT LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "VALLADARES",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "DIRECTOR, CREDENTIALING & PE",
        "authorized_official_telephone_number": "561-514-5822"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kameron Bernardo
• Reagan K Bernatchez, OTR/L
• Alicia Bernet
• Victor Bernet, MD
• Andrew Schutz Bernhardson, M.D.
• Bernhardt Laboratories Inc
• Michael Jay Bernhardt, MD
• Amy Eve Bernstein, D.C
• Anne Laurelle Bernstein, MD
• Duane Ira Bernstein, DMD

• Anatomic Pathology & Clinical Pathology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.