Active NPI
Michael R. Bernui, D.O.
- Family Medicine Physician
- Hendersonville, TN
National Provider Identifier
1902858574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO0000000813
- Practice address
- 353 New Shackle Island Rd
Suite 207-a
Hendersonville, TN 37075-2379 - Phone
- (615) 338-0123
- Fax
- (615) 338-0553
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO0000000813 | TN | Primary |
Addresses
Primary practice location
353 New Shackle Island Rd
Suite 207-a
Hendersonville, TN 37075-2379
Mailing address
353 New Shackle Island Rd
Suite 207-a
Hendersonville, TN 37075-2379
Phone (615) 338-0123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2017 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO0000000813 | TN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1902858574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 NEW SHACKLE ISLAND RD",
"address_2": "SUITE 207-A",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370752379",
"telephone_number": "615-338-0123",
"fax_number": "615-338-0553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 NEW SHACKLE ISLAND RD",
"address_2": "SUITE 207-A",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370752379",
"telephone_number": "615-338-0123",
"fax_number": "615-338-0553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNUI",
"first_name": "MICHAEL",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "DO0000000813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.