Individual provider Active NPI

David A Bernitsky, MD

  • Ophthalmology Physician
  • Albuquerque, NM
National Provider Identifier
1851384861
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
88122 Issued in NM
Practice address
6401 Holly Avenue NE
Albuquerque, NM 87113-1735
Phone
(505) 323-0800
Fax
(505) 323-6221
NPI assigned
Aug 24, 2005
Last updated
Feb 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 88122 NM Primary

Addresses

Primary practice location

6401 Holly Avenue NE
Albuquerque, NM 87113-1735

Mailing address

6401 Holly Avenue NE
Albuquerque, NM 87113-1735
Phone (505) 323-0800

Other identifiers 1

IdentifierTypeStateIssuer
NM010346OtherBCBS

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 Oct 1, 2010 through Oct 1, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88122NMMDOphthalmology Physician
4765NMMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1851384861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 HOLLY AVENUE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131735",
            "telephone_number": "505-323-0800",
            "fax_number": "505-323-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 HOLLY AVENUE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131735",
            "telephone_number": "505-323-0800",
            "fax_number": "505-323-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNITSKY",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "88122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM010346",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.