Individual provider Active NPI

Robert J Bernardi III, MD

  • Neurological Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1265420269
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
103283 Issued in MO
Practice address
11605 Studt Ave
Suite One
Saint Louis, MO 63141-7052
Phone
(314) 699-9818
Fax
(314) 699-9868
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 103283 MO Primary

Addresses

Primary practice location

11605 Studt Ave
Suite One
Saint Louis, MO 63141-7052

Mailing address

11605 Studt Ave
Suite One
Saint Louis, MO 63141-7052
Phone (314) 699-9818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050812000569 MO Practitioner - Neurosurgery 8921038647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Saint Louis University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olive Surgical Group, LTD.Group PAC ID 2163454703, 2 clinicians

Practice addresses (Care Compare)

11605 Studt Ave
Suite 1
Saint Louis, MO 63141-7052
Phone (314) 699-9818

15425 Manchester Rd
Suite 28
Ballwin, MO 63011-3077
Phone (636) 220-6969

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)60

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Surgical Group, LTD. CurrentSince Aug 1, 2005 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

11605 Studt Ave
Ste 1
Saint Louis, MO 63141
Phone (314) 699-9818

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1265420269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 STUDT AVE",
            "address_2": "SUITE ONE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417052",
            "telephone_number": "314-699-9818",
            "fax_number": "314-699-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 STUDT AVE",
            "address_2": "SUITE ONE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417052",
            "telephone_number": "314-699-9818",
            "fax_number": "314-699-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDI",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "103283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.