Active NPI
Melvyn Louis Bernstein, M.D.
- Nephrology Physician
- Bedford, TX
National Provider Identifier
1295761104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- L3579
- Practice address
- 2309 Folkstone Way
Bedford, TX 76021-7971 - Phone
- (817) 975-5685
- NPI assigned
- Jun 23, 2006
- Last updated
- May 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L3579 | TX | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | L3579 | TX | |
| Nephrology Physician | 207RN0300X | L3579 | TX | Primary |
| Neuro-ophthalmology Physician | 207WX0109X | L3579 | TX | |
| Cornea and External Diseases Specialist Physician | 207WX0120X | L3579 | TX |
Addresses
Primary practice location
2309 Folkstone Way
Bedford, TX 76021-7971
Mailing address
PO Box 826
Bedford, TX 76095-0826
Phone (817) 569-0296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00818066 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685232000000",
"number": "1295761104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 826",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760950826",
"telephone_number": "817-569-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2309 FOLKSTONE WAY",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760217971",
"telephone_number": "817-975-5685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNSTEIN",
"first_name": "MELVYN",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2023-05-28",
"certification_date": "2021-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "L3579",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "TX",
"license": "L3579",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "L3579",
"primary": true
},
{
"code": "207WX0109X",
"taxonomy_group": "",
"desc": "Ophthalmology, Neuro-ophthalmology",
"state": "TX",
"license": "L3579",
"primary": false
},
{
"code": "207WX0120X",
"taxonomy_group": "",
"desc": "Ophthalmology, Cornea and External Diseases Specialist",
"state": "TX",
"license": "L3579",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00818066",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.