Active NPI
Newberry Family Health Center PA
- Family Medicine Physician
- Newberry, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NEWBERRY FAMILY HEALTH CENTER PA
- Practice address
- 2306 Harrington St Ste 1
Newberry, SC 29108-3088 - Phone
- (803) 321-3035
- Fax
- (803) 321-3034
- NPI assigned
- Dec 15, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael J Bernardo, MD
- Title
- Owner President
- Phone
- (803) 924-1152
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2306 Harrington St Ste 1
Newberry, SC 29108-3088
Mailing address
1109 Wilson St
Newberry, SC 29108-3443
Phone (803) 321-3035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP1844 | Medicaid | SC |
Other names 1
- Bernardo Geriatrics & Home Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060106000404 | SC | Part B Supplier - Clinic/Group Practice | 5890727515 |
Receives reassigned benefits from 6 practitioners 1 other NPI on this enrollment Practice locations: Newberry, SC |
| O20231214002635 | SC | Part A Provider - Hospice | 5890727515 | Practice locations: Newberry, SC |
Hospice certification: CCN 421650
- Legal name
- NEWBERRY FAMILY HEALTH CENTER PA
- Doing business as
- DBA BERNARDO HOSPICE CARE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Feb 28, 2024
- Last certification
- Feb 8, 2024
- Organization structure
- Corporation
- Incorporated
- Oct 1, 1997 in SC
- Enrollment address
- 2306 Harrington St
Ste 1
Newberry, SC 29108-3088
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Family Medicine Physician
- Little Mountain, SC
- NPI 1831140094
O20060106000404
Care Compare: Hospice
Medicare Care Compare- Listed as
- Bernardo Hospice Care
- Certified
- Feb 28, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
2306 Harrington St
Ste 1
Newberry, SC 29108
Phone (803) 321-3035
1830 Pondfield Rd
#A
Newberry, SC 29108
Phone (803) 405-1900
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Michael Bernardo | 5% Or Greater Direct Ownership Interest | Oct 17, 2023 | 100% |
| Operational/Managerial Control | Oct 17, 2023 | 100% | |
| Newberry Family Health Center PA | 5% Or Greater Direct Ownership Interest | Oct 17, 2023 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Newberry, SC
- NPI 1598764870
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Newberry, SC
- NPI 1598764870
Family Medicine, SC
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733270400000",
"number": "1750367405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 WILSON ST",
"city": "NEWBERRY",
"state": "SC",
"postal_code": "291083443",
"telephone_number": "803-321-3035",
"fax_number": "803-321-3034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2306 HARRINGTON ST STE 1",
"city": "NEWBERRY",
"state": "SC",
"postal_code": "291083088",
"telephone_number": "803-321-3035",
"fax_number": "803-321-3034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWBERRY FAMILY HEALTH CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-15",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A",
"authorized_official_last_name": "BERNARDO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER PRESIDENT",
"authorized_official_telephone_number": "803-924-1152",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP1844",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bernardo Geriatrics & Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Newberry, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.