Organization Active NPI

Harold N Bernstein, DPM,PA

  • Podiatrist
  • St Petersburg, FL
National Provider Identifier
1750379798
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO-621 Issued in FL
Legal business name
HAROLD N BERNSTEIN, DPM,PA
Practice address
5411 16TH St N
St Petersburg, FL 33703-2003
Phone
(727) 522-3633
Fax
(727) 528-4880
NPI assigned
Oct 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Harold Nathan Bernstein, D.P.M.
Title
Doctor of Podiatric Medicine
Phone
(727) 522-3633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO-621 FL Primary

Addresses

Primary practice location

5411 16TH St N
St Petersburg, FL 33703-2003

Mailing address

5411 16TH St N
St Petersburg, FL 33703-2003
Phone (727) 522-3633

Other identifiers 3

IdentifierTypeStateIssuer
0099655OtherFLGROUP HEALTH INC (GHI)
87291OtherFLBLUE SHIELD OF FLORIDA
27-00264OtherFLEVERCARE

National Provider Directory

National Provider Directory

Locations

5411 16th St N
St Petersburg, FL 33703
Phone (727) 522-3633

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750379798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337032003",
            "telephone_number": "727-522-3633",
            "fax_number": "727-528-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337032003",
            "telephone_number": "727-522-3633",
            "fax_number": "727-528-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD N BERNSTEIN, DPM,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "DOCTOR OF PODIATRIC MEDICINE",
        "authorized_official_telephone_number": "727-522-3633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO-621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH INC (GHI)",
            "identifier": "0099655",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF FLORIDA",
            "identifier": "87291",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "27-00264",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.