Barry Alan Bernell, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2121 Issued in AZ

Practice address

14640 N Tatum Blvd
Suite 1
Phoenix, AZ 85032-4824

Phone

(602) 971-5570

Fax

(602) 787-1639

NPI assigned

May 5, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1316113822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14640 N TATUM BLVD",
            "address_2": "SUITE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324824",
            "telephone_number": "602-971-5570",
            "fax_number": "602-787-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14640 N TATUM BLVD",
            "address_2": "SUITE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324824",
            "telephone_number": "602-971-5570",
            "fax_number": "602-787-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNELL",
        "first_name": "BARRY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "AZ",
            "license": "2121",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Bernat, OTRL
• Wendy Bernatavicius, M.D.
• David Joseph Bernath, DDS
• Stephanie Bernau
• Suzanne Berndt, LICENSED PROFESSIONA
• Saunder M Bernes, M.D.
• Kaelin Bernier, DO
• Robin Bernier, MA, MSW, LCSW
• Adam Scott Bernstein
• Jay Gary Bernstein, D.O.

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.