Active NPI
Anthony Robert Bernui, PA-C
- Surgical Physician Assistant
- Nashville, TN
National Provider Identifier
1952397994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA450
- Practice address
- 1310 24TH Ave S
Surgical Service
Nashville, TN 37212-2637 - Phone
- (615) 873-7235
- NPI assigned
- Sep 26, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA450 | TN | |
| Surgical Physician Assistant | 363AS0400X | PA450 | TN | Primary |
Addresses
Primary practice location
1310 24TH Ave S
Surgical Service
Nashville, TN 37212-2637
Mailing address
1310 24TH Ave S
Surgical Service
Nashville, TN 37212-2637
Phone (615) 873-7235
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4060688 | Other | TN | BCBS |
| 4060688 | Other | TN | TENNCARE |
| 3667115 | Medicaid | TN | |
| 1027331 | Other | NCCPA CERTIFICATION # | |
| 1106613 | Other | TN | VHP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 450 | TN | MD | Foot & Ankle Surgery Podiatrist |
| PA450 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1952397994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 24TH AVE S",
"address_2": "SURGICAL SERVICE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372122637",
"telephone_number": "615-873-7235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 24TH AVE S",
"address_2": "SURGICAL SERVICE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372122637",
"telephone_number": "615-873-7235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNUI",
"first_name": "ANTHONY",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "PA450",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TN",
"license": "PA450",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4060688",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNCARE",
"identifier": "4060688",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3667115",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA CERTIFICATION #",
"identifier": "1027331",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VHP",
"identifier": "1106613",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.