Individual provider Active NPI

Bernadine H Han, MD, MS

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1790028603
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
275535 Issued in NY
Practice address
45 Plaza St W Ste 1a
Brooklyn, NY 11217-3967
Phone
(917) 757-2729
Fax
(517) 330-3083
NPI assigned
Mar 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X 275535 NY
Psychiatry Physician 2084P0800X 275535 NY Primary

Addresses

Primary practice location

45 Plaza St W Ste 1a
Brooklyn, NY 11217-3967

Mailing address

45 Plaza St W Ste 1a
Brooklyn, NY 11217-3967
Phone (917) 757-2729

Other practice location 1

25 Elm Pl Fl 6
Brooklyn, NY 11201-5826
Phone (718) 875-1420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 11, 2020 through Mar 11, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
275535NYMDAddiction Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1790028603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PLAZA ST W STE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173967",
            "telephone_number": "917-757-2729",
            "fax_number": "517-330-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PLAZA ST W STE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173967",
            "telephone_number": "917-757-2729",
            "fax_number": "517-330-3083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Elm Pl Fl 6",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112015826",
            "country_code": "US",
            "telephone_number": "718-875-1420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "BERNADINE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "275535",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "275535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.