Theodora K. Bernardini, D.O

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

OS004939L Issued in PA

Practice address

4453 Castor Ave
Suite B
Philadelphia, PA 19124-3846

Phone

(215) 744-2266

Fax

(215) 743-9247

NPI assigned

Mar 28, 2006

Last updated

Sep 8, 2011By the provider in NPPES

Sex

Female

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)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Metropolitan Nephrology Associates, PC

  dba Metro Vascular Center

  • Ambulatory Surgical Clinic/Center
  • Philadelphia, PA
  • NPI 1043758790

  Nephrology

  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1407817745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4453 CASTOR AVE",
            "address_2": "SUITE B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243846",
            "telephone_number": "215-744-2266",
            "fax_number": "215-743-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4453 CASTOR AVE",
            "address_2": "SUITE B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243846",
            "telephone_number": "215-744-2266",
            "fax_number": "215-743-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDINI",
        "first_name": "THEODORA",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "OS004939L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Mallory Bernard, CRNP
• Rekhia Bernard, MD
• Sherell Marquita-Everett Bernard, MSN, CRNA
• John P Bernardi, D.O.
• Laura B Bernardini, M.D.
• George R Bernato, PH.D.
• Gretchen Bernatowicz, DNP, FNP-C, CRNP
• Judy C Bernbaum, MD
• Emily Grace Berner, MD
• Naomi Berner, LSW, MED

• Nephrology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Nephrology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.