Maria Lourdes Bernardo, M.D.
Individual provider Active NPI Specialist · Troy, AL
NPI 1487762043 · NPPES record last updated Sep 9, 2021
Key facts
- NPI
- 1487762043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 22602 (AL)
- Practice address
- 111 Scouting Cir
Troy, AL 36081-2540 - Phone
- (334) 770-7337
- Fax
- (334) 440-8508
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 | |
| Emedical Group Inc | Past |
Accepting new patients | |
| Emedical Group Inc | Past | Accepting new patients | |
| Aesthetic Dermatology | Past |
Accepting new patients | |
| Emedical Group Inc | Past |
Accepting new patients | |
| Family Health Clinic of Union Springs, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 22602 | AL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000050990 | Medicaid | AL | |
| 051050990 | Other | AL | BCBS |
Other providers in Troy, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.