Individual provider Active NPI

Peter Bernardini

  • Administrator Registered Nurse
  • Chapel Hill, NC
National Provider Identifier
1760637433
Registry record updated Nov 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
155267 Issued in NC
Practice address
123 Balsam CT
Chapel Hill, NC 27514-1609
Phone
(919) 244-7985
NPI assigned
Nov 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 155267 NC Primary

Addresses

Primary practice location

123 Balsam CT
Chapel Hill, NC 27514-1609

Mailing address

123 Balsam CT
Chapel Hill, NC 27514-1609
Phone (919) 244-7985

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
155267NCMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1227398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227398400000",
    "number": "1760637433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 BALSAM CT",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141609",
            "telephone_number": "919-244-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 BALSAM CT",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141609",
            "telephone_number": "919-244-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDINI",
        "first_name": "PETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-23",
        "last_updated": "2008-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NC",
            "license": "155267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.