Johnny Bernard Jr MD LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

JOHNNY BERNARD JR MD LLC

Practice address

6029 Old Kings Rd
Palm Coast, FL 32137-5181

Phone

(386) 229-5910

Fax

(386) 229-5914

NPI assigned

Aug 13, 2021

Last updated

Jun 5, 2026By 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. Johnny R Bernard Jr., MDNPI 1972510493

Title

Owner

Phone

(901) 301-1942

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00420

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.

• Johnny R. Bernard Jr., M.D.

  • Radiation Oncology Physician
  • Palm Coast, FL
  • NPI 1972510493
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1861167694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1809",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321361809",
            "telephone_number": "407-788-1906",
            "fax_number": "321-280-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 OLD KINGS RD",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321375181",
            "telephone_number": "386-229-5910",
            "fax_number": "386-229-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNY BERNARD JR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-301-1942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly E Jimenez, ARNP
• Uzziel Jivcu, ARNP
• Harold Johanessen Jr., BCBA
• John a Walsh MD PA
• John G Symeonides M D LLC
• Jeanette Deloris Johnson
• Katherine Anne Johnson
• Lisa Johnson, LCSW
• Madeline Johnson
• Paul David Johnson, DMD

• Radiation Oncology Physician in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Radiation Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.