Individual provider Active NPI

Andrea Moore Dubocq Bernstein, PA-C

  • Physician Assistant
  • Roxboro, NC
National Provider Identifier
1598212482
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00719200 Issued in NJ
Practice address
615 Ridge Rd
Roxboro, NC 27573-4629
Phone
(336) 599-2121
NPI assigned
Sep 8, 2016
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2636 WV
Physician Assistant 363A00000X 0110005911 VA
Physician Assistant 363A00000X 028338 NY
Physician Assistant 363A00000X 1861 NH
Physician Assistant 363A00000X 25MP00719200 NJ Primary
Physician Assistant 363A00000X 0010-06697 NC

Addresses

Primary practice location

615 Ridge Rd
Roxboro, NC 27573-4629

Mailing address

1431 Centerpoint Blvd Ste 100
Knoxville, TN 37932-1983

Other practice location 1

240 S Main St
Wolfeboro, NH 03894-4455
Phone (603) 569-7575

Other practice location 2

4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone (252) 449-4500

Other practice location 3

601 Colliers Way
Weirton, WV 26062-5014
Phone (304) 797-6000

Other names 1

  • Andrea Dubocq Bernstein Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA, NY, NH, WV, NJ6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20161205000142 NC Practitioner - Physician Assistant 3173803426 Reassigns benefits to 6 organizations
I20180102001357 VA Practitioner - Physician Assistant 3173803426 Reassigns benefits to 1 organization
I20220527001009 NY Practitioner - Physician Assistant 3173803426 Reassigns benefits to 2 organizations
I20220615002704 NH Practitioner - Physician Assistant 3173803426 Reassigns benefits to 1 organization
I20221027000714 WV Practitioner - Physician Assistant 3173803426 Reassigns benefits to 1 organization
I20230627003571 NJ Practitioner - Physician Assistant 3173803426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NC Emergency Physician Services PLLCGroup PAC ID 5890916514, 14 clinicians

Practice addresses (Care Compare)

117 E Kings Hwy
Eden, NC 27288-5201
Phone (336) 627-6181

4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone (252) 449-4500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110005911VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
NC Emergency Physician Services, PLLC Physician Assistant CurrentSince Jan 1, 2026 Accepting new patients
Outer Banks Professional Services, LLC CurrentSince Oct 23, 2025 Accepting new patients
True North Health Navigation LLC PastSince Sep 1, 2023 Accepting new patients

Locations

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

4800 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 449-4500

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

Interoperability endpoints

  • Direct secure messaging: abernstein35810@mvhealthsystem.direct-ci.com
  • Direct secure messaging: adubocqbernstein643441@direct.wvuhsdirect.com

Organizations & group practices 12

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 4

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": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1598212482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 CENTERPOINT BLVD STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 RIDGE RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734629",
            "telephone_number": "336-599-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 S Main St",
            "address_purpose": "LOCATION",
            "city": "Wolfeboro",
            "state": "NH",
            "postal_code": "038944455",
            "country_code": "US",
            "telephone_number": "603-569-7575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 S Croatan Hwy",
            "address_purpose": "LOCATION",
            "city": "Nags Head",
            "state": "NC",
            "postal_code": "279599704",
            "country_code": "US",
            "telephone_number": "252-449-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Colliers Way",
            "address_purpose": "LOCATION",
            "city": "Weirton",
            "state": "WV",
            "postal_code": "260625014",
            "country_code": "US",
            "telephone_number": "304-797-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBOCQ BERNSTEIN",
        "first_name": "ANDREA",
        "middle_name": "MOORE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2636",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005911",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "028338",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1861",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00719200",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06697",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "DUBOCQ BERNSTEIN",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roxboro, NC

Sources for this page

Verify at the official NPI Registry.