Bernadette Marie Dube, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

648 Issued in OK

Practice address

4901 W Reno Ave
Oklahoma City, OK 73127-6346

Phone

(405) 230-9250

Fax

(405) 943-0742

NPI assigned

Jun 28, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in OK

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bernadette.dube@moh.eclinicaldirectplus.com

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.

• Williams Medical Group Practice, LLC

  dba Integrity Urgent Care

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1346608809
  Medicare reassignment NPD
• Williams Medical Group Practice, LLC

  dba Xpress Wellness Urgent Care

  • Rural Health Clinic/Center
  • Collinsville, OK
  • NPI 1215751508
  NPD
• Healdton Municipal Hospital (SNF)

  • Medicare Defined Swing Bed Hospital Unit
  • Healdton, OK
  • NPI 1437169489
  NPD (past)
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1720015241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 BROADWAY EXT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731147408",
            "telephone_number": "405-230-9000",
            "fax_number": "405-230-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 W RENO AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731276346",
            "telephone_number": "405-230-9250",
            "fax_number": "405-943-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBE",
        "first_name": "BERNADETTE",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliott Joseph Druten
• Dso PLLC
• Ivan Omar Duarte, BCBA
• Neill W Dubberstein, DDS
• Zane M Dubberstein, D.D.S., M.S.D.
• Shandalyn Kaream Dublin, M.S, LPC
• Freddie Daniel Dubon
• Camika Dubose
• Ciara Dubose
• Joe A Duckworth, D.C.

• Physician Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.