Mark Bernhardt, MD, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

57531 Issued in FL

Legal business name

MARK BERNHARDT, MD, PA

Practice address

1601 E Broward Blvd
Fort Lauderdale, FL 33301-2160

Phone

(954) 463-3421

Fax

(954) 463-3316

NPI assigned

Jul 6, 2006

Last updated

Jan 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Bernhardt, M.D.NPI 1811922149

Title

President

Phone

(954) 463-3421

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Steven Bernhardt, M.D.

  • Dermatology Physician
  • Fort Lauderdale, FL
  • NPI 1811922149
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1801827761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E BROWARD BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012160",
            "telephone_number": "954-463-3421",
            "fax_number": "954-463-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E BROWARD BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012160",
            "telephone_number": "954-463-3421",
            "fax_number": "954-463-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK BERNHARDT, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "BERNHARDT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-463-3421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "57531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Pablo Marin
• Laura Marin
• Martina Marini, LCSW
• Anelisse Marino, DMD
• Marisabel Olivera, DMD, PA
• Nabeel Markatia, MD
• Evan Tobias Markell, PA-C
• Gary Donald Marker, A.P.
• Leonid Markov, PHARMD
• Lawrence Harold Marks, D.M.D.

• Dermatology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.