Active NPI
Jan R Bernard, PT
- Physical Therapist
- Asheville, NC
National Provider Identifier
1780838532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11861
- Practice address
- 77 Central Ave Ste a
Asheville, NC 28801 - Phone
- (828) 505-4886
- NPI assigned
- Nov 6, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 11861 | NC | |
| Physical Therapist | 225100000X | 11861 | NC | Primary |
Addresses
Primary practice location
77 Central Ave Ste a
Asheville, NC 28801
Mailing address
77 Central Ave Ste a
Asheville, NC 28801-2452
Phone (828) 505-4886
Other practice location 1
1025 Brevard Rd
Suite 10
Asheville, NC 28806-8562
Phone (828) 670-8056
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0686T | Other | BCBS | |
| 7212509 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11861 | NC | MD | Oral and Maxillofacial Pathology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568764800000",
"number": "1780838532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 CENTRAL AVE STE A",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288012452",
"telephone_number": "828-505-4886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 CENTRAL AVE STE A",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "28801",
"telephone_number": "828-505-4886"
}
],
"practiceLocations": [
{
"address_1": "1025 Brevard Rd",
"address_2": "Suite 10",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288068562",
"country_code": "US",
"telephone_number": "828-670-8056",
"fax_number": "828-670-8057",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERNARD",
"first_name": "JAN",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-06",
"last_updated": "2019-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NC",
"license": "11861",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "11861",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0686T",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7212509",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.