Teresa Bernard I

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

ME46372 Issued in FL

Practice address

414 Old Hard Rd Ste 104
Orange Park, FL 32003-3406

Phone

(904) 269-6400

Fax

(904) 269-6410

NPI assigned

Feb 8, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710027560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 OLD HARD RD STE 104",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320033406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 OLD HARD RD STE 104",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320033406",
            "telephone_number": "904-269-6400",
            "fax_number": "904-269-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "TERESA",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME46372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INSURANCE",
            "identifier": "6957412",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meily Bermudez Brito
• Adriana Bernal
• Carol Bernard, BS
• Gary C Bernard, M.D.
• Schuyler Bernard, MD
• Natalie Ann Bernhart, PA-C
• Shantavia Berry, RBT
• Amanda Danielle Bertsch, CCC-SLP
• Zachary Berwaldt
• Best Express Care and Medical Transportation Services Inc

• Gynecology Physician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Gynecology Physician in Florida

• 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.