Zachary Douglas Bernstein

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

3802 Issued in MN

Practice address

310 Smith Ave N Ste 300
Saint Paul, MN 55102-2383

Phone

(651) 241-8000

NPI assigned

Sep 7, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1508587536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 LONDIN LN E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551195549",
            "telephone_number": "651-231-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SMITH AVE N STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022383",
            "telephone_number": "651-241-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "347 S Gladstone Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605064892",
            "country_code": "US",
            "telephone_number": "630-892-6431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2465 Londin Ln E",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551195549",
            "country_code": "US",
            "telephone_number": "651-231-2849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "ZACHARY",
        "middle_name": "DOUGLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-07",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "3802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lois Ann Berndt, DENTAL HYGIENIST
• Allyson Hanson Berner
• Jacquelyn Bernick
• Kyle Leonard Bernier, MAATC
• Sara V Bernstein, RD
• Mackenzie Bernu, MD
• Danielle Y Berres, DPT
• Jessica L Berry, CD
• Michael Ray Berry, LGSW
• Nancy Jean Berry, OTR

• Athletic Trainer in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.