Individual provider Active NPI

Jonna Bernstein, M.D.

  • Internal Medicine Physician
  • Orangeburg, SC
National Provider Identifier
1467480228
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23361 Issued in NC
Practice address
3310 Magnolia St
Orangeburg, SC 29115
Phone
(803) 531-6900
Fax
(803) 531-6907
NPI assigned
Jun 29, 2006
Last updated
Feb 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23361 NC Primary

Addresses

Primary practice location

3310 Magnolia St
Orangeburg, SC 29115

Mailing address

5945 Habersham Dr
Kernersville, NC 27284-6337
Phone (919) 619-8836

Other identifiers 3

IdentifierTypeStateIssuer
58-2569828OtherNCUNITED HEALTHCARE
891351JMedicaidNC
7453359OtherNCAETNA

Other names 1

  • Dr. Jonna Bernstein Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23361NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catawba Piedmont Cardiothoracic Surgery LLC PastSince Jan 5, 2015 Accepting new patients
Central Internal Medicine, P.a. Internal Medicine Past Accepting new patients
Piedmont Pulmonology, LLC Internal Medicine PastSince Feb 5, 2008 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1467480228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5945 HABERSHAM DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272846337",
            "telephone_number": "919-619-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 MAGNOLIA ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "29115",
            "telephone_number": "803-531-6900",
            "fax_number": "803-531-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "JONNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "23361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "58-2569828",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891351J",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7453359",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONNA",
            "last_name": "BERNSTEIN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.