Active NPI
Robert M Bernstein, M.D.
- Orthopaedic Surgery Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD188702
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rbernstein971806@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD188702 | OR | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Shriners Hospitals for Children | Orthopaedic Surgery | Current | 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
- rbernstein114593@direct.ohsu.edu
- rbernstein103600@direct.cshs.org
- 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.
-
- Pediatric Orthopaedic Surgery Physician
- Pasadena, CA
- NPI 1871043224
CA
-
- Pediatric Orthopaedic Surgery Physician
- Portland, OR
- NPI 1134561020
OR
-
- Cardiovascular Disease Physician
- Portland, OR
- NPI 1790025104
-
- Clinical Pathology Physician
- Portland, OR
- NPI 1831641745
-
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
-
- Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1275271462
Orthopaedic Surgery
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
-
- Children's Hospital
- Portland, OR
- NPI 1982793139
-
- Pediatrics Physician
- Medford, OR
- NPI 1225282122
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.