Active NPI
Stephen Adam Bernstein, MD, MPH, FAAFP
- Family Medicine Physician
- Fort Rucker, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME74643
- 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, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL23646 | AL | MD | Family Medicine Physician |
| ME74643 | FL | MD | Family 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 | |
| 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.
-
dba Stuart Urgent Care
- Emergency Medicine Physician
- Jensen Beach, FL
- NPI 1992791198
-
dba Okeechobee Urgent Care
- Emergency Medicine Physician
- Okeechobee, FL
- NPI 1528455847
Family Medicine
-
- Emergency Medicine Physician
- Thomasville, AL
- NPI 1770530313
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.