Ryan Bernardino

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

4580 Issued in MD

Practice address

8111 Hickory Hollow Dr
Glen Burnie, MD 21060-8639

Phone

(571) 490-4250

NPI assigned

Mar 31, 2016

Last updated

Mar 31, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1699138230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 HICKORY HOLLOW DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608639",
            "telephone_number": "571-490-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 HICKORY HOLLOW DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608639",
            "telephone_number": "571-490-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDINO",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "4580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Bennett, DNP, CRNA
• Shannon Berg
• Wondaferew Awraris Berhie, MD MSC
• Christina Louise Bernard, RNC-OB; IBCLC
• Norma Jamileth Bernardez-Ruiz
• Erin E Bernhard, PA-C
• Harriet Elizabeth Bernola, LCPC
• Michael Tobias Bernstein, M.D.
• Dwight Leon Berry, D.D.S
• Elise Wendy Bershaw, LCSW-C

• Ambulatory Surgical Clinic/Center in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.