Bernard R Canlas, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME84394 Issued in FL

Practice address

6337 61St St W
University Place, WA 98467-4935

Phone

(904) 608-1369

Fax

(904) 268-0409

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1639276587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64112",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984640112",
            "telephone_number": "904-608-1369",
            "fax_number": "904-268-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6337 61ST ST W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984674935",
            "telephone_number": "904-608-1369",
            "fax_number": "904-268-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANLAS",
        "first_name": "BERNARD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME84394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050091271",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51489",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malia Christina Cacheiro
• Kaylyn Alyssa Calhoun
• Brittney E Callahan
• Anthony Calpeno, DC,ND
• Sara Sloan Campbell, LMP
• Lancy Canley
• Marisa Canne, LMT
• Grace Cannon
• John Cao
• Care Direct Haven LLC

• Pain Medicine (Anesthesiology) Physician in University Place, WA
• Providers in University Place, WA by specialty
• Pain Medicine (Anesthesiology) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.