Active NPI
Bernard R Pacini, M.D.
- Gastroenterology Physician
- Grand Junction, CO
National Provider Identifier
1699969667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 22743
- Practice address
- 425 Patterson Rd
Suite 406
Grand Junction, CO 81506-1953 - Phone
- (970) 243-2479
- Fax
- (970) 243-2481
- NPI assigned
- Aug 31, 2007
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 22743 | CO | Primary |
Addresses
Primary practice location
425 Patterson Rd
Suite 406
Grand Junction, CO 81506-1953
Mailing address
425 Patterson Rd
Suite 406
Grand Junction, CO 81506-1953
Phone (970) 243-2479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22743 | Other | CO | COLORADO MED LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 15, 2016 through Feb 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22743 | CO | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bernard R Pacini MD PC | Gastroenterology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Grand JCT, CO
- NPI 1649252719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188518400000",
"number": "1699969667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 PATTERSON RD",
"address_2": "SUITE 406",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815061953",
"telephone_number": "970-243-2479",
"fax_number": "970-243-2481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 PATTERSON RD",
"address_2": "SUITE 406",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815061953",
"telephone_number": "970-243-2479",
"fax_number": "970-243-2481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACINI",
"first_name": "BERNARD",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-31",
"last_updated": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CO",
"license": "22743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO MED LICENCE",
"identifier": "22743",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.