Individual provider Active NPI

Gary C Bernard, M.D.

  • Internal Medicine Physician
  • Orange Park, FL
National Provider Identifier
1720181910
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME-0069445 Issued in FL
Practice address
1996 Kingsley Ave
Orange Park, FL 32073-4442
Phone
(904) 276-5700
Fax
(904) 272-1474
NPI assigned
Sep 6, 2006
Sex
Male
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
Internal Medicine Physician 207R00000X ME-0069445 FL Primary

Addresses

Primary practice location

1996 Kingsley Ave
Orange Park, FL 32073-4442

Mailing address

1996 Kingsley Ave
Orange Park, FL 32073-4442
Phone (904) 276-5700

Other identifiers 1

IdentifierTypeStateIssuer
225324OtherFLAVMED ID NUMBER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101201000347 FL Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Family Practice 6608775556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Meharry Medical College School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pointe Medical Services IncGroup PAC ID 3274432125, 4 clinicians

Practice addresses (Care Compare)

1996 Kingsley Ave
Orange Park, FL 32073-4442
Phone (904) 276-5700

Hospital & facility affiliations

  • HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME-0069445FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pointe Medical Services Inc CurrentSince Feb 17, 2000 Accepting new patients
Pointe Med Pharmacy, Inc. Past Accepting new patients

Locations

1996 Kingsley Ave
Orange Park, FL 32073
Phone (904) 272-9679

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20909/brand/1/csg/1/fhir/r4
  • Direct secure messaging: gary.bernard.1@20909.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1720181910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1996 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734442",
            "telephone_number": "904-276-5700",
            "fax_number": "904-272-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1996 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734442",
            "telephone_number": "904-276-5700",
            "fax_number": "904-272-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "GARY",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME-0069445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED ID NUMBER",
            "identifier": "225324",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.