Individual provider Active NPI

Bernice Renee Swain, DO

  • Family Medicine Physician
  • Decatur, AL
National Provider Identifier
1881789063
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO 248 Issued in AL
Practice address
2424 Danville Rd SW
Ste L
Decatur, AL 35603-4219
Phone
(256) 341-0043
Fax
(256) 341-0095
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO 248 AL Primary

Addresses

Primary practice location

2424 Danville Rd SW
Ste L
Decatur, AL 35603-4219

Mailing address

2506 Danville Rd SW Ste 203
Decatur, AL 35603-4232
Phone (256) 341-0043

Other identifiers 1

IdentifierTypeStateIssuer
000084021MedicaidAL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100803000270 AL Practitioner - Family Practice 6709919350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2424 Danville Rd SW
Suite L
Decatur, AL 35603-4219
Phone (256) 341-0043

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO 248ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC Current Accepting new patients
Bernice R Swain DO PLLC CurrentSince May 4, 2019 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Jun 2, 2014 Accepting new patients
American Family Care, LLC CurrentSince Jun 2, 2014 Accepting new patients

Locations

2424 Danville Rd SW
Ste L
Decatur, AL 35603
Phone (256) 341-0043

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

Interoperability endpoints

  • Direct secure messaging: berniceswain@dbrsd-al.direct.office.nextgen.com

Organizations & group practices 4

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1881789063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 DANVILLE RD SW STE 203",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034232",
            "telephone_number": "256-341-0043",
            "fax_number": "256-341-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 DANVILLE RD SW",
            "address_2": "STE L",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034219",
            "telephone_number": "256-341-0043",
            "fax_number": "256-341-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAIN",
        "first_name": "BERNICE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO 248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000084021",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.