Active NPI
Gabrielle Dionyse Lauren Bernard, MD
- Emergency Medicine Physician
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD60862290
- Practice address
- 1205 N 10TH St Ste a
Renton, WA 98057-5577 - Phone
- (425) 690-3475
- Fax
- (425) 690-9475
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G85928 | CA | |
| Emergency Medicine Physician | 207P00000X | MD60862290 | WA | Primary |
Addresses
Primary practice location
1205 N 10TH St Ste a
Renton, WA 98057-5577
Mailing address
3600 Lind Ave SW
Suite 100 Attn Credentialing
Renton, WA 98057-4970
Phone (425) 690-2715
Other practice location 1
525 N Garfield Ave
Monterey Park, CA 91754-1202
Phone (626) 307-2129
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G859280 | Other | CA | BLUE SHIELD |
| 050126CG35107 | Other | CA | VALLEY PRES TRAILBLAZER |
| G85928 | Other | CA | BLUE CROSS |
| 930123114 | Other | CA | VALLEY PRES RAILROAD |
| 2106688 | Medicaid | WA | |
| 00G859280 | Medicaid | CA | |
| 00G859280 | Other | CA | CALOPTIMA |
Other names 1
- Dr. Gabrielle Diony Lauren Bernard
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://FHIR.valleymed.org/FHIR-PRD/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | gbernard82233@direct.valleymed.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WA, FL
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60862290 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Valley Medical Group-Renton | Current | Accepting new patients | |
| Sound Physicians Emergency Medicine of Washington PLLC | Emergency Medicine | Current | Accepting new patients |
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| St Joseph Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| St Joseph Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Inphynet South Broward LLC | Emergency Medicine | Past | Accepting new patients |
| Glendale Emergency Medical Associates, Inc | Emergency Medicine | Past | Accepting new patients |
| Garfield Emergency Medical Associates, Inc. | Emergency Medicine | Past | Accepting new patients |
| DRH Medical Group | Past | Accepting new patients |
Locations
1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000
1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075
914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
200 Prosser Health Dr
Prosser, WA 99350
Phone (509) 786-2222
1205 N 10th St
Ste A
Renton, WA 98057
Phone (425) 656-4211
3600 Lind Ave SW
Ste 100
Renton, WA 98057
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
Interoperability endpoints
- gbernard82233@direct.valleymed.org
- gbernard422480@direct.peacehealth.org
Organizations & group practices 12
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.
-
- Emergency Medicine Physician
- Arlington, WA
- NPI 1235172370
-
- Critical Access Hospital
- Prosser, WA
- NPI 1306897681
-
- Emergency Medicine Physician
- Sedro Woolley, WA
- NPI 1629532064
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1326324047
-
- Rural Health Clinic/Center
- Prosser, WA
- NPI 1477088391
-
- Specialist
- Walla Walla, WA
- NPI 1518770155
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1437407467
-
- Urgent Care Clinic/Center
- Oakland, CA
- NPI 1790560225
-
- Emergency Medicine Physician
- Monterey Park, CA
- NPI 1386688125
-
- Emergency Medicine Physician
- Glendale, CA
- NPI 1588606834
-
- Emergency Medicine Physician
- Hollywood, FL
- NPI 1871521880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1275589608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 LIND AVE SW",
"address_2": "SUITE 100 ATTN CREDENTIALING",
"city": "RENTON",
"state": "WA",
"postal_code": "980574970",
"telephone_number": "425-690-2715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 N 10TH ST STE A",
"city": "RENTON",
"state": "WA",
"postal_code": "980575577",
"telephone_number": "425-690-3475",
"fax_number": "425-690-9475"
}
],
"practiceLocations": [
{
"address_1": "525 N Garfield Ave",
"address_purpose": "LOCATION",
"city": "Monterey Park",
"state": "CA",
"postal_code": "917541202",
"country_code": "US",
"telephone_number": "626-307-2129",
"fax_number": "626-307-2056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERNARD",
"first_name": "GABRIELLE",
"middle_name": "DIONYSE LAUREN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G85928",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD60862290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G859280",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALLEY PRES TRAILBLAZER",
"identifier": "050126CG35107",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "G85928",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALLEY PRES RAILROAD",
"identifier": "930123114",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2106688",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G859280",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALOPTIMA",
"identifier": "00G859280",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://FHIR.valleymed.org/FHIR-PRD/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1205 N 10th St Ste A",
"city": "Renton",
"state": "WA",
"country_code": "US",
"postal_code": "980575577",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gbernard82233@direct.valleymed.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "gbernard82233@direct.valleymed.org",
"address_1": "1205 N 10th St Ste A",
"city": "Renton",
"state": "WA",
"country_code": "US",
"postal_code": "980575577",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "GABRIELLE",
"last_name": "BERNARD",
"middle_name": "DIONY LAUREN",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.