Stephen Adam Bernstein, MD, MPH, FAAFP
Individual provider Active NPI Family Medicine Physician · Fort Rucker, AL
NPI 1477544450 · NPPES record last updated Nov 24, 2017
Key facts
- NPI
- 1477544450
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME74643 (FL)
- Practice address
- 301 Andrews Avenue
Lyster Army Health Clinic
Fort Rucker, AL 36362 - Phone
- (334) 255-7387
- Fax
- (334) 255-7716
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180102000413 | FL | Practitioner - Family Practice | 7214953298 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL23646 | AL | MD | Aerospace Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treasure Coast Medical Associates | Family Medicine | Current |
Accepting new patients |
| Treasure Coast Medical Associates | Current | Accepting new patients | |
| Southwest Alabama Emergency Physicians, LLC | Past | Accepting new patients |
Locations
3405 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 692-8082
305 NE Park St
Okeechobee, FL 34972
Phone (772) 692-8082
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | AL23646 | AL | |
| Family Medicine Physician | 207Q00000X | AL23646 | AL | |
| Family Medicine Physician | 207Q00000X | ME74643 | FL | Yes |
Addresses
Primary practice location
301 Andrews Avenue
Lyster Army Health Clinic
Fort Rucker, AL 36362
Mailing address
301 Daphne Dr
Enterprise, AL 36330-7863
Phone (334) 722-1350
Other providers in Fort Rucker, AL
- Janishka Beauford
- Micheal A Benamon
- Jennifer Benincasa
- Jennifer R Bennett
- Joseph Bennett
- John Christopher Berry
- Shilo Beving
- Amy Bhagaloo
- Raoul Jay Bhatta
- Hosea Tyler Bickerstaff
All providers in Fort Rucker, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.