Active NPI
Bryan Bernasek
- Registered Nurse
- Lehigh Acres, FL
National Provider Identifier
1306730775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 9630489
- Practice address
- 1199 Redacted Way
Lehigh Acres, FL 33971-3721 - Phone
- (503) 399-9999
- NPI assigned
- Jun 9, 2025
- Last updated
- Jul 15, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9630489 | FL | Primary |
Addresses
Primary practice location
1199 Redacted Way
Lehigh Acres, FL 33971-3721
Mailing address
8221 Silver Birch Way
Lehigh Acres, FL 33971-3721
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9630489 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1306730775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8221 SILVER BIRCH WAY",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339713721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1199 REDACTED WAY",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339713721",
"telephone_number": "503-399-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNASEK",
"first_name": "BRYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-09",
"last_updated": "2025-07-15",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9630489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehigh Acres, FL
- Riva Xylina Bennett, LMHC, BCBA
- Andromina Bergues
- Adriana Bermejo Sarmiento, MD
- Alberto Bermudez Rivero
- Zenaida Bernal, RBT
- Bernd Raphael, MD, PA
- Best Care Community and Family Health Center Inc
- Best Care Community and Family Health Center, Inc.
- Best Care Family and Wellness Centers Inc
- Best Step ABA Solutions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.