Organization Active NPI

Newberry Family Health Center PA

  • Rural Health Clinic/Center
  • Newberry, SC
National Provider Identifier
1245367804
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
NEWBERRY FAMILY HEALTH CENTER PA
Practice address
2306 Harrington St Ste 1
Newberry, SC 29108-3088
Phone
(803) 321-3035
Fax
(803) 321-3034
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Michael J Bernardo, MD
Title
Owner
Phone
(803) 321-3035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

2306 Harrington St Ste 1
Newberry, SC 29108-3088

Mailing address

2306 Harrington St Ste 1
Newberry, SC 29108-3088
Phone (803) 321-3035

Other identifiers 1

IdentifierTypeStateIssuer
RHC154MedicaidSC

Other names 1

  • Bernardo Geriatrics & Home Care Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1245367804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 HARRINGTON ST STE 1",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291083088",
            "telephone_number": "803-321-3035",
            "fax_number": "803-321-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 HARRINGTON ST STE 1",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291083088",
            "telephone_number": "803-321-3035",
            "fax_number": "803-321-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBERRY FAMILY HEALTH CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "BERNARDO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-321-3035",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC154",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bernardo Geriatrics & Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newberry, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.