Bruce P Berard, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA305 Issued in CA

Practice address

3875 Telegraph Rd
Suite C
Ventura, CA 93003-3419

Phone

(805) 477-0939

NPI assigned

Nov 23, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vertex Healthcare Solutions, Inc.

  • Occupational Therapist
  • Lake Forest, CA
  • NPI 1790190734
  NPD Authorized official
• Jennings Physical Therapy, a Professional Corporation

  • Physical Medicine & Rehabilitation Physician
  • Ventura, CA
  • NPI 1245520196
  NPD (past)

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

{
    "created_epoch": "1353628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353628800000",
    "number": "1336483791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 TELEGRAPH RD",
            "address_2": "SUITE C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033419",
            "telephone_number": "805-477-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 TELEGRAPH RD",
            "address_2": "SUITE C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033419",
            "telephone_number": "805-477-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERARD",
        "first_name": "BRUCE",
        "middle_name": "P",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-23",
        "last_updated": "2012-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Michelle Bennett, RN
• Emily Suzanne Benson, M.D.
• Mollie Lee Benton
• Monisha Benton
• Beth A Benz, O.D.
• Larry A. Berent, MSW, LCSW
• Diane Berger, RN
• Kelsey Bergh
• Michael Warren Bergin, M.D.
• Robert Anton Berkovitz, D.C.

• Physical Therapy Assistant in Ventura, CA
• Providers in Ventura, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2012; 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.