Individual provider Active NPI

Bernard Go, PT, MS

  • Orthopedic Physical Therapist
  • Concord, CA
National Provider Identifier
1912374372
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
26822 Issued in CA
Practice address
3424 Wren Ave
Concord, CA 94519-2331
Phone
(925) 344-3388
NPI assigned
Sep 1, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 26822 CA Primary

Addresses

Primary practice location

3424 Wren Ave
Concord, CA 94519-2331

Mailing address

3424 Wren Ave
Concord, CA 94519-2331
Phone (925) 344-3388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220308002949 CA Practitioner - Physical Therapist in Private Practice 3779977871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maxperformgo LLCGroup PAC ID 2860886967, 2 clinicians

Practice addresses (Care Compare)

1566 Palos Verdes Mall
Walnut Creek, CA 94597-2229
Phone (925) 344-3388

3169 Roundhill Rd
Alamo, CA 94507-1735
Phone (925) 344-3388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
26822CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Maxperformgo LLC Orthopedic CurrentSince Oct 24, 2021 Accepting new patients
Maxperformgo LLC Orthopedic CurrentSince Oct 25, 2021 Accepting new patients

Locations

1510 Palos Verdes Mall
Ste B
Walnut Creek, CA 94597
Phone (925) 344-3388

1840 Tice Valley Blvd
Walnut Creek, CA 94595

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1912374372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 WREN AVE",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192331",
            "telephone_number": "925-344-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 WREN AVE",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192331",
            "telephone_number": "925-344-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GO",
        "first_name": "BERNARD",
        "credential": "PT, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-01",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "26822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.