Matthew Joseph Bernard, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12013342A Issued in IN

Practice address

1005 E Lasalle Ave
South Bend, IN 46617-2818

Phone

(574) 367-7000

NPI assigned

May 8, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1902395668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E LASALLE AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172879",
            "telephone_number": "574-367-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E LASALLE AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172818",
            "telephone_number": "574-367-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 N Daniels Dr",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "IL",
            "postal_code": "605107680",
            "country_code": "US",
            "telephone_number": "630-947-4002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N Mill St",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "46544",
            "country_code": "US",
            "telephone_number": "574-285-0460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-08",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12013342A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine A. Bennett, DNP, APRN-BC
• Anthony Louis Berardi, PHD
• Deborah M Berger, BSN RN
• Troy Bergin, M.D.
• Andrew R Berkson, DO
• Harold E Bernt, LCSW
• Corey Alan Beron, BCABA
• David C Bertoncini, MD
• Anna C. Berzai, RD
• Scott Berzai

• Pediatric Dentistry in South Bend, IN
• Providers in South Bend, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.