Individual provider Active NPI

Peter G Bernad, M.D., M.P.H., FACP

  • Neurology Physician
  • Alexandria, VA
National Provider Identifier
1336110477
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
101031480 Issued in VA
Practice address
2616 Sherwood Hall LN
Suite 201
Alexandria, VA 22306-3100
Phone
(703) 360-8200
Fax
(703) 360-3178
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 101031480 VA Primary

Addresses

Primary practice location

2616 Sherwood Hall LN
Suite 201
Alexandria, VA 22306-3100

Mailing address

2616 Sherwood Hall LN
Suite 201
Alexandria, VA 22306-3100
Phone (703) 360-8200

Other identifiers 3

IdentifierTypeStateIssuer
039641700MedicaidDC
219291801MedicaidMD
6195806MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101011000613 DC Practitioner - NeurologyPractitioner - Internal MedicinePractitioner - Sleep Medicine 5496795668 Reassigns benefits to 1 organization
I20120716000573 VA Practitioner - NeurologyPractitioner - Internal Medicine 5496795668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Internal Medicine, Sleep Medicine
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2296 Opitz Blvd
Woodbridge, VA 22191-3346

Hospital & facility affiliations

  • Pro Healthcare Servicing LLC Home health agency, Fairfax, VA, CCN 497656
  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
101031480VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Services, Incorporated Neurology CurrentSince Oct 1, 1981 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Minimally Invasive Pain Institute, PLLC Past Accepting new patients

Locations

2112 F St NW
Ste 303
Washington, DC 20037
Phone (202) 563-0300

2616 Sherwood Hall Ln
Ste 201
Alexandria, VA 22306
Phone (703) 360-8200

2296 Opitz Blvd
Ste 360
Woodbridge, VA 22191
Phone (703) 878-0600

Interoperability endpoints

  • Direct secure messaging: pbernad@1202.securemail.mdnavigatorclinical.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1336110477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 SHERWOOD HALL LN",
            "address_2": "SUITE 201",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063100",
            "telephone_number": "703-360-8200",
            "fax_number": "703-360-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 SHERWOOD HALL LN",
            "address_2": "SUITE 201",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063100",
            "telephone_number": "703-360-8200",
            "fax_number": "703-360-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNAD",
        "first_name": "PETER",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H., FACP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "101031480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039641700",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219291801",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6195806",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.