Individual provider Active NPI

Robert M Bernstein, M.D.

  • Orthopaedic Surgery Physician
  • Portland, OR
National Provider Identifier
1619951548
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD188702 Issued in OR
Practice address
3101 S. W. Sam Jackson Park Rd.
Portland, OR 97239
Phone
(310) 967-1884
Fax
(310) 967-1744
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD188702 OR Primary

Addresses

Primary practice location

3101 S. W. Sam Jackson Park Rd.
Portland, OR 97239

Mailing address

3101 S. W. Sam Jackson Park Rd.
Portland, OR 97239
Phone (310) 967-1884

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rbernstein971806@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141121000501 CA Practitioner - Orthopedic Surgery 0648286609 Reassigns benefits to 1 organization
I20190405000171 OR Practitioner - Orthopedic Surgery 0648286609 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD188702ORMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Jan 23, 2019 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 23, 2019 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jan 23, 2019 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Shriners Hospitals for Children Orthopaedic Surgery CurrentSince May 24, 2025 Accepting new patients
Shriners Hospitals for Children Current Accepting new patients
Oregon Health & Science University Past Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients
University Professional Services Past Accepting new patients
North Shore University Hospital Past Accepting new patients
Beth Israel Deaconess Medical Center, Inc. Past Accepting new patients
Shriners Hospitals for Children Orthopaedic Surgery Past Accepting new patients
Shriners Hospitals for Children Past Accepting new patients

Locations

909 S Fair Oaks Ave
Pasadena, CA 91105
Phone (213) 388-3151

3101 SW Sam Jackson Park Rd
#R
Portland, OR 97239
Phone (503) 241-5090

9135 SW Barnes Rd
Ste 211
Portland, OR 97225

3101 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 221-3424

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

Interoperability endpoints

  • Direct secure messaging: rbernstein114593@direct.ohsu.edu
  • Direct secure messaging: rbernstein103600@direct.cshs.org
  • Direct secure messaging: rbernstein971806@oc.providencedirect.org

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1619951548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 S. W. SAM JACKSON PARK RD.",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97239",
            "telephone_number": "310-967-1884",
            "fax_number": "310-967-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 S. W. SAM JACKSON PARK RD.",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97239",
            "telephone_number": "310-967-1884",
            "fax_number": "310-967-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD188702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbernstein971806@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "9135 SW Barnes Rd Ste 211",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972256646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.