Active NPI
Maria Lourdes Bernardo, M.D.
- Specialist
- Troy, AL
National Provider Identifier
1487762043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 22602
- Practice address
- 111 Scouting Cir
Troy, AL 36081-2540 - Phone
- (334) 770-7337
- Fax
- (334) 440-8508
- NPI assigned
- Aug 25, 2006
- Last updated
- Sep 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 22602 | AL | Primary |
Addresses
Primary practice location
111 Scouting Cir
Troy, AL 36081-2540
Mailing address
PO Box 312
Union Springs, AL 36089-0312
Phone (334) 738-7337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22602 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Past | Accepting new patients | |
| Aesthetic Dermatology | Past | Accepting new patients | |
| Emedical Group Inc | Past | Accepting new patients | |
| Emedical Group Inc | Past | Accepting new patients | |
| Family Health Clinic of Union Springs, Inc. | Past | Accepting new patients | |
| Emedical Group Inc | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Dermatology Physician
- Montgomery, AL
- NPI 1164748117
-
dba ePediatrics and Family Care
- Rural Health Clinic/Center
- Union Springs, AL
- NPI 1912203712
-
- Rural Health Clinic/Center
- Union Springs, AL
- NPI 1871701482
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1487762043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 312",
"city": "UNION SPRINGS",
"state": "AL",
"postal_code": "360890312",
"telephone_number": "334-738-7337",
"fax_number": "334-513-1665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 SCOUTING CIR",
"city": "TROY",
"state": "AL",
"postal_code": "360812540",
"telephone_number": "334-770-7337",
"fax_number": "334-440-8508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARDO",
"first_name": "MARIA",
"middle_name": "LOURDES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "22602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.