Active NPI
David J Bernbaum, M.D.
- Cardiovascular Disease Physician
- Thorndale, PA
National Provider Identifier
1528030129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD016865E
- Practice address
- 3025 C G Zinn Rd
Thorndale, PA 19372-1131 - Phone
- (610) 384-2211
- Fax
- (610) 384-2340
- NPI assigned
- Feb 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD016865E | PA | Primary |
Addresses
Primary practice location
3025 C G Zinn Rd
Thorndale, PA 19372-1131
Mailing address
3025 C G Zinn Rd
Thorndale, PA 19372-1131
Phone (610) 384-2211
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007031450002 | Medicaid | PA | |
| 0026193000 | Other | PA | INDEPENDENCE BLUE CROSS |
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 |
|---|---|---|---|
| MD016865E | PA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brandywine Valley Cardiovascular Assoc | Current | Accepting new patients | |
| Greater Barrington Family Health Center, P.C. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
80 W Welsh Pool Rd
Ste 105N
Exton, PA 19341
Phone (610) 280-0314
3025 Zinn Rd
Thorndale, PA 19372
Phone (610) 384-2211
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Thorndale, PA
- NPI 1780634337
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Sports Medicine (Family Medicine) Physician
- South Barrington, IL
- NPI 1457358673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242691200000",
"number": "1528030129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 C G ZINN RD",
"city": "THORNDALE",
"state": "PA",
"postal_code": "193721131",
"telephone_number": "610-384-2211",
"fax_number": "610-384-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 C G ZINN RD",
"city": "THORNDALE",
"state": "PA",
"postal_code": "193721131",
"telephone_number": "610-384-2211",
"fax_number": "610-384-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNBAUM",
"first_name": "DAVID",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2009-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD016865E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007031450002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0026193000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thorndale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.