Active NPI
Newberry Family Health Center PA
- Rural Health Clinic/Center
- Newberry, SC
National Provider Identifier
1245367804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RHC154 | Medicaid | SC |
Other names 1
- Bernardo Geriatrics & Home Care
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Family Medicine Physician
- Little Mountain, SC
- NPI 1831140094
Member Of
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.