Individual provider Active NPI

David J Bernbaum, M.D.

  • Cardiovascular Disease Physician
  • Thorndale, PA
National Provider Identifier
1528030129
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD016865E Issued in PA
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

Updated by the provider on May 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0007031450002MedicaidPA
0026193000OtherPAINDEPENDENCE 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

LicenseStateTypeSpecialty
MD016865EPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brandywine Valley Cardiovascular Assoc Current Accepting new patients
Greater Barrington Family Health Center, P.C. PastSince Aug 1, 2004 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.

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.

Verify at the official NPI Registry.