Organization Active NPI

Gary D Bernhardt, MD LLC

  • Family Medicine Physician
  • Olathe, KS
National Provider Identifier
1912154204
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0418701 Issued in KS
Legal business name
GARY D BERNHARDT, MD LLC
Practice address
15270 W 119TH St
Olathe, KS 66062-5604
Phone
(913) 541-1131
NPI assigned
Aug 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Authorized official

Name
Gary D Bernhardt, MD
Title
Owner
Phone
(913) 541-1131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0418701 KS Primary

Addresses

Primary practice location

15270 W 119TH St
Olathe, KS 66062-5604

Mailing address

15270 W 119TH St
Olathe, KS 66062-5604
Phone (913) 541-1131

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1912154204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15270 W 119TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625604",
            "telephone_number": "913-541-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15270 W 119TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625604",
            "telephone_number": "913-541-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY D BERNHARDT, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "BERNHARDT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-541-1131",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0418701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.