Bernadette Gendernalik, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101009641 Issued in MI

Practice address

37399 Garfield Rd Ste 203
Provider Retired
Clinton TWP, MI 48036

Phone

(586) 228-2911

NPI assigned

Jul 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Silver Pine Medical Group PLC

  • Family Medicine Physician
  • Sterling Heights, MI
  • NPI 1639105695
  Medicare reassignment NPD
• Bayside Family Medicine Chesterfield PC

  • Family Medicine Physician
  • Chesterfield, MI
  • NPI 1790018315
  NPD
• Lprls, PLC

  • Medical Specialty Clinic/Center
  • Clinton Township, MI
  • NPI 1336195809

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1316945405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37399 GARFIELD RD STE 203",
            "address_2": "PROVIDER RETIRED",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48036",
            "telephone_number": "586-228-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37399 GARFIELD RD STE 203",
            "address_2": "PROVIDER RETIRED",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48036",
            "telephone_number": "586-228-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDERNALIK",
        "first_name": "BERNADETTE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4392670",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gaynor Family Dental, P.C.
• Mark Albert Gaynor, D.D.S
• Paul Raymond Gaynor, D.D.S.
• Mary Jane Gazda, PH.D.
• Mitchell Gehrke, CRNA
• Gentle Guardians Home Care LLC
• George Nassif, M.D PLLC
• Christopher Gerhardt, DPT
• Todd German, COTAL
• Melissa Perry Germansky, LLMSW

• Family Medicine Physician in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.