Organization Active NPI

Robert Bernard M.D. P.C.

  • Internal Medicine Physician
  • Wading River, NY
National Provider Identifier
1790971505
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
178451 Issued in NY
Legal business name
ROBERT BERNARD M.D. P.C.
Practice address
6144 Route 25a BLDG C
Suite 10
Wading River, NY 11792-2018
Phone
(631) 929-5900
Fax
(631) 929-6487
NPI assigned
Sep 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Dr. Robert Bernard, M.D.
Title
President
Phone
(631) 929-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 178451 NY Primary

Addresses

Primary practice location

6144 Route 25a BLDG C
Suite 10
Wading River, NY 11792-2018

Mailing address

6144 Route 25a BLDG C
Suite 10
Wading River, NY 11792-2018
Phone (631) 929-5900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1790971505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6144 ROUTE 25A BLDG C",
            "address_2": "SUITE 10",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922018",
            "telephone_number": "631-929-5900",
            "fax_number": "631-929-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 ROUTE 25A BLDG C",
            "address_2": "SUITE 10",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922018",
            "telephone_number": "631-929-5900",
            "fax_number": "631-929-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT BERNARD M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-15",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-929-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "178451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wading River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.