Paul Jerome Bernard, MD

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

060045 Issued in GA

Practice address

10700 Medlock Bridge Rd
Suite 102
Duluth, GA 30097-8456

Phone

(678) 691-5351

Fax

(770) 685-1241

NPI assigned

Jun 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: pbernard45894@choa.gadirect.net

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1891990743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 MEDLOCK BRIDGE RD",
            "address_2": "SUITE 102",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978456",
            "telephone_number": "678-691-5351",
            "fax_number": "770-685-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 MEDLOCK BRIDGE RD",
            "address_2": "SUITE 102",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978456",
            "telephone_number": "678-691-5351",
            "fax_number": "770-685-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "PAUL",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "MO",
            "license": "2007015922",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "GA",
            "license": "060045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204462808",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn M Benson, MD
• Liliana Francine Bent
• Lizbeth Frances Bent
• Berkeley Family Medicine Associates, LLC
• Michelle S Berkowitz, CNM
• Amber Janae Berry, MD
• Magdalena Besleaga, CST
• Best Eyecare Optical, Inc.
• Lauren Nichole Best, PHD, BCBA-D
• Barbara Betancourt, DC

• Pediatric Endocrinology Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• Pediatric Endocrinology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.