Individual provider Active NPI

James Jay Bernick, M.D.

  • Family Medicine Physician
  • Baytown, TX
National Provider Identifier
1891804613
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E8324 Issued in TX
Practice address
2717 W Baker Rd
Suite 2
Baytown, TX 77521-2204
Phone
(281) 427-6730
Fax
(281) 427-0248
NPI assigned
Aug 29, 2006
Last updated
Aug 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E8324 TX Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X E8324 TX

Addresses

Primary practice location

2717 W Baker Rd
Suite 2
Baytown, TX 77521-2204

Mailing address

2717 W Baker Rd
Suite 2
Baytown, TX 77521-2204
Phone (281) 427-6730

Other identifiers 1

IdentifierTypeStateIssuer
035778201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050330001183 TX Practitioner - Geriatric MedicinePractitioner - Family Practice 4284692021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 1977
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2717 W Baker Rd
Suite 2
Baytown, TX 77521-2220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E8324TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jamesj Bernick MD. PA. Family Medicine CurrentSince Apr 5, 1982 Accepting new patients
Bay Area Rehabilitation Center PastSince Jan 25, 2006 Accepting new patients

Locations

2717 W Baker Rd
Ste 2
Baytown, TX 77521
Phone (281) 427-6369

Interoperability endpoints

  • Direct secure messaging: james.bernick.1@16237.direct.athenahealth.com

Organizations & group practices 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1891804613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 W BAKER RD",
            "address_2": "SUITE 2",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212204",
            "telephone_number": "281-427-6730",
            "fax_number": "281-427-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 W BAKER RD",
            "address_2": "SUITE 2",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212204",
            "telephone_number": "281-427-6730",
            "fax_number": "281-427-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNICK",
        "first_name": "JAMES",
        "middle_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E8324",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "E8324",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035778201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.