DR. WILFRIDO D BERNARDO (NPI# 1003801887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003801887 |
Entity Type | Individual |
Full Name | DR. WILFRIDO D BERNARDO |
Credential | M.D. |
Practice Address |
130 Lebanon Hwy Suite B Carthage TN 37030-2955 |
Mailing Address |
Po Box 176 Carthage TN 37030-0176 |
Practice Telephone | 6157350700 |
Practice Fax Number | 6157355451 |
Mailing Telephone | 6157350700 |
Mailing Fax Number | 6157355451 |
Enumeration Date | 2005-09-16 |
Last Update Date | 2008-03-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 11479 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3170708 | 05 |
Street Address |
130 LEBANON HWY SUITE B |
City | CARTHAGE |
State | TN |
Zip Code | 37030-2955 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740566777 | Anna Kirby Locke | Physician Assistant | 130 Lebanon Hwy, Suite B, Carthage, TN 37030-2955 | 2011-10-21 |
1063532489 | Gloria J Hart | Registered Nurse | 130 Lebanon Hwy, Carthage, TN 37030-2955 | 2007-03-30 |
1578693545 | Frank T Rutherford Hospital Inc | General Acute Care Hospital | 130 Lebanon Hwy, Carthage, TN 37030-2955 | 2007-03-07 |
1629082466 | Frank T Rutherford Memorial Hospital, Inc | General Acute Care Hospital | 130 Lebanon Hwy, Carthage, TN 37030-2955 | 2006-07-28 |
1801814629 | Frank T Rutherford Memorial Hospital, Inc | General Acute Care Hospital | 130 Lebanon Hwy, Carthage, TN 37030-2955 | 2006-07-18 |
1316928393 | Jane Bass Turner | Nurse Practitioner | 130 Lebanon Hwy, Suite B, Carthage, TN 37030-2955 | 2005-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245729052 | Lesa Hughes | Pharmacist | 1 Myer Street, Carthage, TN 37030 | 2018-05-07 |
1295242527 | Carthage Family Chiropractic LLC | Chiropractor | 906 Main St N, Carthage, TN 37030 | 2018-01-09 |
1255778692 | Smith Co Board of Education | Local Education Agency (LEA) | 126 Scms Lane, Carthage, TN 37030 | 2013-05-24 |
1346599685 | Tennessee Department of Health | Skilled Nursing Facility | 251 Joy Alfrod Way, Carthage, TN 37030 | 2012-08-31 |
1821386525 | Morlee Burgess | Family Medicine | 133 Hospital Dr Ste 500, Carthage, TN 37030 | 2011-07-14 |
1295033595 | Staton Southern Medical, Pllc | Family Medicine | 131 Hospital Drive, Suite 2000, Carthage, TN 37030 | 2011-03-10 |
1861728909 | Cristy Stumb | Nurse Practitioner | 619 N. Main St, Carthage, TN 37030 | 2009-10-24 |
1356505580 | Melody Lynn Key | Physical Therapy Assistant | 112 Healthcare Drive, Carthage, TN 37030 | 2008-07-16 |
1063530962 | Christian Sean Troutman | Chiropractor | 320 Main St North, Carthage, TN 37030 | 2007-03-27 |
1730222316 | Deborah D Webster | Registered Nurse | Smith County Health Department, 303 High St. N, Carthage, TN 37030 | 2007-02-14 |
Find all providers in zip 37030 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1194011122 | Bethany Brooke Pajak | General Practice | 1001 West St, Carthage, NY 13619-9703 | 2011-06-28 |
1508871302 | Carthage Family Practice Specialists, PC | General Practice | 133 Hospital Dr, Suite 500, Carthage, TN 37030-4004 | 2006-07-30 |
1629023767 | James Keith Keeling | General Practice | 409 Cottage Rd, Carthage, TX 75633-1466 | 2006-05-24 |
1871589473 | Larry L Turner | General Practice | 133 Hospital Dr, Suite 500, Carthage, TN 37030-4004 | 2005-09-20 |
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1912481870 | Kendall Elizabeth Bush | General Practice | 2416 21st Ave S Ste 101, Nashville, TN 37212-5310 | 2018-09-18 |
1891202941 | One To One Health | General Practice | 1413 Mccallie Ave, Chattanooga, TN 37404-2936 | 2018-01-10 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.