NPIMap

Individual provider Active NPI

Bernard Kemker III, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Rocky Mount, NC
National Provider Identifier
1558774794
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
2020-00667 Issued in NC
Practice address
110 Patrick CT
Rocky Mount, NC 27804-8755
Phone
(252) 443-0400
Fax
(252) 443-0572
NPI assigned
Jun 5, 2014
Last updated
Oct 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 1558774794 VA
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 2020-00667 NC Primary

Addresses

Primary practice location

110 Patrick CT
Rocky Mount, NC 27804-8755

Mailing address

110 Patrick CT
Rocky Mount, NC 27804-8755
Phone (252) 443-0400

Other identifiers 2

IdentifierTypeStateIssuer
1558774794MedicaidNC
1558774794MedicaidMI

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address bernard.kemker@mclaren.org
Other URL bernard.kemker@mclaren.org
Other URL Richmond Direct
CONNECT URL Athena Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200806000029 NC Practitioner - Orthopedic Surgery 7315250958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Indiana University School of Medicine, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Comprehensive Rehab of Wilson, Inc.Group PAC ID 2668377375, 115 clinicians
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians

Practice addresses (Care Compare)

110 Patrick CT
Rocky Mount, NC 27804-1743
Phone 2524430400239

1811 Forest Hills Rd W
Wilson, NC 27893-3412
Phone (252) 243-7400

2303 Wellington Dr SW
Suite B
Wilson, NC 27893-8620
Phone (252) 243-6818

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.1 of 100Reported as individual
Quality
80.55
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement39
Knee replacement52
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1558774794VAMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Regional Orthopaedics, PA Orthopaedic Surgery Current Accepting new patients
Carolina Regional Orthopaedics, PA Orthopaedic Surgery CurrentSince May 1, 2020 Accepting new patients

Locations

110 Patrick Ct
Rocky Mount, NC 27804
Phone (252) 443-0400

Interoperability endpoints

  • Direct secure messaging: bernard.kemker.1@6545.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6545/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1558774794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PATRICK CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048755",
            "telephone_number": "252-443-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PATRICK CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048755",
            "telephone_number": "252-443-0400",
            "fax_number": "252-443-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMKER",
        "first_name": "BERNARD",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-05",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "VA",
            "license": "1558774794",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NC",
            "license": "2020-00667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558774794",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558774794",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bernard.kemker@mclaren.org",
            "affiliation": "N",
            "address_1": "401 S Ballenger Hwy",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485323638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bernard.kemker@mclaren.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "401 S Ballenger Hwy",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485323638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Richmond",
            "affiliation": "N",
            "endpointDescription": "change",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1250 E Marshall St # 980264",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232985051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athena",
            "affiliation": "N",
            "endpointDescription": "Athena",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "athena health",
            "address_1": "110 Patrick Ct",
            "city": "Rocky Mount",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278048755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.