Jate William Bernard, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Knoxville, TN
NPI 1386479558 · NPPES record last updated Mar 26, 2025
Key facts
- NPI
- 1386479558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1924 Alcoa Hwy # U-11
Knoxville, TN 37920-1511 - Phone
- (865) 305-9230
- Fax
- (865) 305-6958
- NPI assigned
- Sep 5, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250525000002 | TN | Order and Referring Only - Urology |
4385163104 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1924 Alcoa Hwy # U-11
Knoxville, TN 37920-1511
Mailing address
1924 Alcoa Hwy # U-11
Knoxville, TN 37920-1511
Phone (865) 305-9230
Other providers in Knoxville, TN
- Taylor Parrish Berke
- Dixon Shaquille Bermudez
- Jacob E Bermudez
- Jessica Yousry Bernaba
- Jacqueline Kay Bernard
- Larry Wayne Bernard
- Michael P Bernard
- Caitlin Berndt
- Candace Berne
- Jacob R Bernier
All providers in Knoxville, TN · Student in an Organized Health Care Education/Training Program in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.