Individual provider Active NPI

Robert Mark Bernstein, MD

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1720165590
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00029891 Issued in WA
Practice address
1601 5TH Ave
Suite 830
Seattle, WA 98101-3621
Phone
(206) 623-7671
Fax
(206) 838-3085
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00029891 WA Primary

Addresses

Primary practice location

1601 5TH Ave
Suite 830
Seattle, WA 98101-3621

Mailing address

1805 E Lynn St
Seattle, WA 98112-2131
Phone (206) 329-7512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00029891WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carena Medical Providers PS Family Medicine Past Accepting new patients
Highline Medical Group Inc Family Medicine Past Accepting new patients
Major Hospital Past Accepting new patients
Caresimple Providers PS Family Medicine Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1720165590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 E LYNN ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981122131",
            "telephone_number": "206-329-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 5TH AVE",
            "address_2": "SUITE 830",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013621",
            "telephone_number": "206-623-7671",
            "fax_number": "206-838-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "ROBERT",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "00029891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.