Individual provider Active NPI

Patrick Alan Bernardi, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Oxford, AL
National Provider Identifier
1306385091
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3400 Issued in AL
Practice address
227 E Choccolocco St
Oxford, AL 36203-1223
Phone
(256) 835-5355
Fax
(256) 835-3990
NPI assigned
Feb 15, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 3400 AL Primary

Addresses

Primary practice location

227 E Choccolocco St
Oxford, AL 36203-1223

Mailing address

227 E Choccolocco St
Oxford, AL 36203-1223
Phone (256) 835-5355

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3400ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick a Bernardi DMD Ms PC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1306385091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 E CHOCCOLOCCO ST",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031223",
            "telephone_number": "256-835-5355",
            "fax_number": "256-835-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 E CHOCCOLOCCO ST",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031223",
            "telephone_number": "256-835-5355",
            "fax_number": "256-835-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDI",
        "first_name": "PATRICK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AL",
            "license": "3400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.