Individual provider Active NPI

Stephen Adam Bernstein, MD, MPH, FAAFP

  • Family Medicine Physician
  • Fort Rucker, AL
National Provider Identifier
1477544450
Registry record updated Nov 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME74643 Issued in 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
Last updated
Nov 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X AL23646 AL
Family Medicine Physician 207Q00000X AL23646 AL
Family Medicine Physician 207Q00000X ME74643 FL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20180102000413 FL Practitioner - Family Practice 7214953298 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AL23646ALMDFamily Medicine Physician
ME74643FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast Medical Associates Family Medicine CurrentSince Oct 25, 2017 Accepting new patients
Treasure Coast Medical Associates Current Accepting new patients
Inphynet Contracting Services LLC Past 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

Organizations & group practices 4

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511481600000",
    "number": "1477544450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 DAPHNE DR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363307863",
            "telephone_number": "334-722-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ANDREWS AVENUE",
            "address_2": "LYSTER ARMY HEALTH CLINIC",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "36362",
            "telephone_number": "334-255-7387",
            "fax_number": "334-255-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "STEPHEN",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, FAAFP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2017-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "AL",
            "license": "AL23646",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "AL23646",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME74643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Rucker, AL

Sources for this page

Verify at the official NPI Registry.