Marc Israel Bernson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA60152451 Issued in WA

Practice address

Madigan Army Medical Hospital
Tacoma, WA 98431-9361

Phone

(253) 477-5053

Fax

(253) 477-5076

NPI assigned

Jul 10, 2007

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1396943478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10507 156TH ST E",
            "address_2": "SUITE G112",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983749361",
            "telephone_number": "253-477-5053",
            "fax_number": "253-477-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL HOSPITAL",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984319361",
            "telephone_number": "253-477-5053",
            "fax_number": "253-477-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSON",
        "first_name": "MARC",
        "middle_name": "ISRAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60152451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa NMN Bernardi
• Johann V Bernardo, MD
• Steven John Bernick, M.D.
• Tatyana Bernik, NP
• Robert M Berns, MD
• Kristin Berres, R.N.
• Ileene Berrios, PA-C
• Jennifer Michelle Berry Buckingham, PA
• Christina Berry
• Donna Lee Berry, LMP

• Medical Physician Assistant in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.