William N Bernhard, M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

D00006476 Issued in MD

Practice address

2624 Fairview PT Rd. BLDG E 6814
Aviation Medicine Clinic
Edgewood (Apg), MD 21040

Phone

(410) 436-6570

Fax

(410) 436-6598

NPI assigned

Jan 22, 2007

Last updated

Aug 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1467505362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 CARPENTERS POINT RD",
            "city": "PERRYVILLE",
            "state": "MD",
            "postal_code": "219032015",
            "telephone_number": "410-642-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 FAIRVIEW PT RD. BLDG E 6814",
            "address_2": "AVIATION MEDICINE CLINIC",
            "city": "EDGEWOOD (APG)",
            "state": "MD",
            "postal_code": "21040",
            "telephone_number": "410-436-6570",
            "fax_number": "410-436-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNHARD",
        "first_name": "WILLIAM",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MD",
            "license": "D00006476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.