Thomas Jeffrey Bernard, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L022545 Issued in LA

Practice address

9425 Healthplex Dr
Suite 101
Shreveport, LA 71106-8148

Phone

(318) 683-5171

Fax

(318) 683-5182

NPI assigned

Aug 15, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Louisiana State University School of Medicine in Shreveport, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Therapy and Balance Center, LLCGroup PAC ID 0345397899, 98 clinicians

Healthplex Family Clinic, LLCGroup PAC ID 1850361742, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Primestar Home Health of Nwla, Inc Home health agency, Minden, LA, CCN 197446
• Christus Homecare Shreveport-Bossier Home health agency, Shreveport, LA, CCN 197074
• Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041
• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: healthplexfamilyclinic.thomasbernard@112009.advancedmd-direct.com

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.

• Healthplex Family Clinic, LLC

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1053495374
  Medicare reassignment Care Compare group NPD
• Cornerstone Therapy and Balance Center, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Shreveport, LA
  • NPI 1659518041
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Health Northern Louisiana

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1417950106
  Care Compare affiliation
• LHCG Cviii, LLC

  • Home Health Agency
  • Shreveport, LA
  • NPI 1780105908
  Care Compare affiliation
• Primestar Home Health of Nwla Inc

  • Home Health Agency
  • Minden, LA
  • NPI 1952350456
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572
  Care Compare affiliation

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1962404475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 HEALTHPLEX DR",
            "address_2": "SUITE 101",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711068148",
            "telephone_number": "318-683-5171",
            "fax_number": "318-683-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 HEALTHPLEX DR",
            "address_2": "SUITE 101",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711068148",
            "telephone_number": "318-683-5171",
            "fax_number": "318-683-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "THOMAS",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "L022545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1493716",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Berger
• Emily Bergeron, PA-C
• Natalie Berlin, LPC
• Amanda Bernard
• Brennan Anthony Bernard
• Edward Glenn Bernatowicz, RPH
• Brian E. Bernhardt, M.D.
• Wendy K Bernstein, M.D.
• Malcolm Bernstine, PH.D
• Austin Gordon Berry, DO

• Family Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.
• 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.