Eventure Duldulao Bernardino, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301068741 Issued in MI

Practice address

6297 Dixie Hwy
Bridgeport, MI 48722-9635

Phone

(989) 759-6460

Fax

(989) 759-6465

NPI assigned

Oct 6, 2005

Last updated

Apr 8, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: eventure.bernardino.1@27771.direct.athenahealth.com
• Direct secure messaging: eventure.bernardino@direct.medfusion.com

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.

• Great Lakes Bay Health Centers

  • Obstetrics & Gynecology Physician
  • Saginaw, MI
  • NPI 1871684761
  Medicare reassignment

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1447248232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LAPEER",
            "address_2": "HEALTH DELIVERY INC",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486071208",
            "telephone_number": "989-759-6464",
            "fax_number": "989-399-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6297 DIXIE HWY",
            "city": "BRIDGEPORT",
            "state": "MI",
            "postal_code": "487229635",
            "telephone_number": "989-759-6460",
            "fax_number": "989-759-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDINO",
        "first_name": "EVENTURE",
        "middle_name": "DULDULAO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301068741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eventure.bernardino@direct.medfusion.com",
            "affiliation": "N",
            "address_1": "6297 Dixie Hwy",
            "city": "Bridgeport",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487229635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bavarian Comfort Care
• Madelynn Beck
• Morgan Cathryn Bell, OTRL
• Breasia Marie Benjamin
• Paul Dennis Berger, D.C.
• Creona Berry
• Melinda Eve Bierlein, PT
• Audrea Leigh Billingslea
• Bio Medical Applications of Michigan Inc (Fresenius Medical Care Cass River)
• Lila Bjaland, BGS, CADC

• Family Medicine Physician in Bridgeport, MI
• Providers in Bridgeport, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.