Individual provider Active NPI

Clair Gloria Bernard, OTR/L

  • Occupational Therapist
  • Burnsville, MN
National Provider Identifier
1700300381
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
105432 Issued in MN
Practice address
14101 Fairview Dr Ste 300
Burnsville, MN 55337-2537
Phone
(952) 892-2650
NPI assigned
Jul 26, 2017
Last updated
Sep 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 105432 MN Primary

Addresses

Primary practice location

14101 Fairview Dr Ste 300
Burnsville, MN 55337-2537

Mailing address

10145 Mound Spring Ter
Bloomington, MN 55420-5133
Phone (952) 297-5973

Other practice location 1

9630 Grove Cir N Ste 200
Maple Grove, MN 55369-3492
Phone (763) 520-7870

Other practice location 2

909 Fulton St SE # 4-392
Minneapolis, MN 55455-4800
Phone (612) 676-4483

Other names 1

  • Clair Gloria Elrod Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170919001531 MN Practitioner - Physical Therapist in Private Practice 7012281785 Reassigns benefits to 2 organizations
I20171023001407 MN Practitioner - Occupational Therapist in Private Practice 7012281785 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

3400 W 66TH St
Edina, MN 55435-2110
Phone (952) 914-1965

717 Delaware St SE
Minneapolis, MN 55414-2959
Phone (612) 672-7422

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Fairview Express Care Current Accepting new patients
Infinite Health Collaborative, PA CurrentSince Nov 27, 2017 Accepting new patients
Fairview Express Care CurrentSince Mar 1, 2020 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Nov 27, 2017 Accepting new patients
Fairview Health Services CurrentSince Jul 7, 2017 Accepting new patients
Fairview Health Services CurrentSince Jul 18, 2017 Accepting new patients
Fairview Express Care CurrentSince Mar 1, 2020 Accepting new patients
Fairview Express Care Past Accepting new patients

Locations

15650 Cedar Ave
Ste 160
Apple Valley, MN 55124
Phone (952) 997-4170

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

9630 Grove Cir N
Ste 200
Maple Grove, MN 55369
Phone (763) 520-7580

3400 W 66th St
Ste 290
Minneapolis, MN 55435
Phone (952) 836-3637

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

909 Fulton St SE
#4392
Minneapolis, MN 55455
Phone (612) 676-4483

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1700300381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10145 MOUND SPRING TER",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554205133",
            "telephone_number": "952-297-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 FAIRVIEW DR STE 300",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372537",
            "telephone_number": "952-892-2650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9630 Grove Cir N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553693492",
            "country_code": "US",
            "telephone_number": "763-520-7870",
            "fax_number": "763-520-7580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "909 Fulton St SE # 4-392",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554554800",
            "country_code": "US",
            "telephone_number": "612-676-4483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "CLAIR",
        "middle_name": "GLORIA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIR",
            "last_name": "ELROD",
            "middle_name": "GLORIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.