Gregory Bernardo, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601004661 Issued in MI

Practice address

44201 Dequindre Road
Troy, MI 48085-6769

Phone

(248) 964-4866

Fax

(248) 964-4848

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: gbernardo1459006@epic00.shdirect.org

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1508942640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD SUITE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44201 DEQUINDRE ROAD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480856769",
            "telephone_number": "248-964-4866",
            "fax_number": "248-964-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDO",
        "first_name": "GREGORY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gbernardo16837@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "44201 Dequindre Road",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480856769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Rose Berlasi, CRNA
• David H Berlin, DPM
• Justin Joseph Berlin, D.C.
• Meredith Bess Berlin, LLMSW
• Bernardo a Rojas II MD PLLC
• Deandre Lashone Berry Jr.
• Donald D Berry, PA
• Latishia Renee-Denise Berry, ANP-BC
• Samera Berry, PHARM.D.
• Sarah Berry, DNP, RN, AGCNS-BC

• Physician Assistant in Troy, MI
• Providers in Troy, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.