Elma Z Bernardo MD and Associates Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

12394 Issued in WV

Legal business name

ELMA Z BERNARDO MD AND ASSOCIATES INC

Practice address

401 Division St
Suite 203
South Charleston, WV 25309-1455

Phone

(304) 766-3470

Fax

(304) 766-3494

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Elma Zapanta Bernardo, M.D.

Title

Owner Psychiatrist

Phone

(304) 766-3470

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1467522185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DIVISION ST",
            "address_2": "SUITE 203",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091455",
            "telephone_number": "304-766-3470",
            "fax_number": "304-766-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DIVISION ST",
            "address_2": "SUITE 203",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091455",
            "telephone_number": "304-766-3470",
            "fax_number": "304-766-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMA Z BERNARDO MD AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "BERNARDO",
        "authorized_official_first_name": "ELMA",
        "authorized_official_middle_name": "ZAPANTA",
        "authorized_official_title_or_position": "OWNER PSYCHIATRIST",
        "authorized_official_telephone_number": "304-766-3470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "12394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "1042627",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVTAL OF OHIO",
            "identifier": "15852889300",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116974001",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TYPE UNSPECIFIED",
            "identifier": "CG8650",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Psychiatry Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.