Bernard William Simieritsch, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18983 Issued in AL

Practice address

15341 Highway 278
Double Springs, AL 35553-2407

Phone

(205) 489-3322

Fax

(205) 489-3325

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Franklin Primary Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1679532303

  Family Medicine

  Medicare reassignment NPD
• Quality of Life Health Services Inc

  • Community Health Clinic/Center
  • Gadsden, AL
  • NPI 1447200977
  Medicare reassignment NPD
• Bernard William Simieritsch

  • Family Medicine Physician
  • Double Springs, AL
  • NPI 1346233640
  NPD (past) Authorized official
• Winston County Medical Clinic 2

  • Rural Health Clinic/Center
  • Double Springs, AL
  • NPI 1588865570
  NPD (past) Authorized official
• Franklin Primary Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Evergreen, AL
  • NPI 1346733821

  Family Medicine

  NPD
• Quality of Life Health Services Inc

  • Community Health Clinic/Center
  • Gadsden, AL
  • NPI 1902856214
  NPD
• Quality of Life Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Anniston, AL
  • NPI 1013339209
  NPD
• Quality of Life Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Heflin, AL
  • NPI 1467620989
  NPD
• Quality of Life Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Phenix City, AL
  • NPI 1831568237
  NPD

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1821080565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15341 HIGHWAY 278",
            "city": "DOUBLE SPRINGS",
            "state": "AL",
            "postal_code": "355532407",
            "telephone_number": "205-489-3322",
            "fax_number": "205-489-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15341 HIGHWAY 278",
            "city": "DOUBLE SPRINGS",
            "state": "AL",
            "postal_code": "355532407",
            "telephone_number": "205-489-3322",
            "fax_number": "205-489-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMIERITSCH",
        "first_name": "BERNARD",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "18983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541392401",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529601630",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000036224",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha D Howard, D.M.D.
• N Frank McCreless II, PC
• Angela Kay McNutt, NURSE PRACTITIONER
• N. Frank McCreless PC
• Restore Therapy Services, LTD
• Marie-Alexis Simieritsch, CRNP
• Adam B Smith, MD
• State of Alabama
• State of Alabama Department of Public Health
• State of Alabama Department of Public Health

• Family Medicine Physician in Double Springs, AL
• Providers in Double Springs, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.