Ignacio Z. Bernardo Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3257 Issued in WV

Practice address

202 3Rd Ave
Montgomery, WV 25136-2222

Phone

(304) 442-5136

Fax

(304) 442-5166

NPI assigned

Aug 10, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ignacio Z. Bernardo, Jr., D.D.S., Inc.

  • General Practice Dentistry
  • Montgomery, WV
  • NPI 1164556668
  NPD (past) Authorized official

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1669483079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 3RD AVE",
            "city": "MONTGOMERY",
            "state": "WV",
            "postal_code": "251362222",
            "telephone_number": "304-442-5136",
            "fax_number": "304-442-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 3RD AVE",
            "city": "MONTGOMERY",
            "state": "WV",
            "postal_code": "251362222",
            "telephone_number": "304-442-5136",
            "fax_number": "304-442-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDO",
        "first_name": "IGNACIO",
        "middle_name": "Z.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7800012000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Lynn Alfaro
• Shane Michael Ammons
• Sammar Atassi, M.D.
• Aaron Bailey
• Alexander McKinney Ball, DO
• Ravin Bhirud, M. D.
• Bio-Medical Applications of West Virginia, Inc. (Fresenius Medical Care Hawks Nest)
• Virginia Rose Blosser, RPH
• Lou Ann Bowen, CRNA
• Madeline Wilson Burns, APRN

• General Practice Dentistry in Montgomery, WV
• Providers in Montgomery, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.