Organization Active NPI

Harry N Bernard DPM LTD

  • Foot & Ankle Surgery Podiatrist
  • Saint Charles, MO
National Provider Identifier
1396925871
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016002736 Issued in IL
Legal business name
HARRY N BERNARD DPM LTD
Practice address
34 Green Number 4 Dr
Saint Charles, MO 63303-3336
Phone
(618) 322-4579
Fax
(636) 947-5498
NPI assigned
Nov 13, 2007
Last updated
Apr 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Authorized official

Name
Mrs. Donna Bernard
Title
Practice Manager
Phone
(618) 322-4579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016002736 IL Primary

Addresses

Primary practice location

34 Green Number 4 Dr
Saint Charles, MO 63303-3336

Mailing address

34 Green Number 4 Dr
Saint Charles, MO 63303-3336
Phone (618) 322-4579

National Provider Directory

National Provider Directory

Locations

1063 Martin Luther King Dr
Centralia, IL 62801
Phone (618) 532-4004

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1396925871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 GREEN NUMBER 4 DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033336",
            "telephone_number": "618-322-4579",
            "fax_number": "636-947-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 GREEN NUMBER 4 DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033336",
            "telephone_number": "618-322-4579",
            "fax_number": "636-947-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY N BERNARD DPM LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "618-322-4579",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016002736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.