DR. JOHN J. BERNICK (NPI# 1184664302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184664302 |
Entity Type | Individual |
Full Name | DR. JOHN J. BERNICK |
Credential | M.D.PHD |
Practice Address |
751 S Military St Dearborn MI 48124-2107 |
Practice Telephone | 3132743311 |
Practice Fax Number | 3132743587 |
Mailing Telephone | 3132743311 |
Mailing Fax Number | 3132743587 |
Enumeration Date | 2006-06-07 |
Last Update Date | 2007-10-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | JB047245 | MI | Other Service Providers |
Y | 207K00000X | Allergy & Immunology | JB047245 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | LICENSE NUMBER | JB047245 | 01 |
MI | BLUE CROSS BLUE SHIELD | 0822360 | 01 |
MI | DEA NUMBER | BB5448798 | 01 |
MI | AMERICAN MEDICAL ASSO. | 02507830130 | 01 |
Street Address |
751 S MILITARY ST |
City | DEARBORN |
State | MI |
Zip Code | 48124-2107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154807337 | Allergy & Immunology Associates of Dearborn PC | Allergy & Immunology | 751 S Military St, Dearborn, MI 48124-2107 | 2018-07-11 |
1114306958 | Janice Bernick | Nurse Practitioner | 751 S Military St, Dearborn, MI 48124-2107 | 2015-05-27 |
1902151723 | Oscar A Linares Md PC | Clinic/Center | 751 S Military St, Dearborn, MI 48124-2107 | 2012-07-18 |
1689938789 | Roula Daher | Allergy & Immunology | 751 S Military St, Dearborn, MI 48124 | 2012-07-03 |
1730378738 | Allergy Associates of Dearborn | Allergy & Immunology | 751 S Military St, Dearborn, MI 48124-2107 | 2007-10-16 |
1043387749 | Paola M Seidel | Physical Medicine & Rehabilitation | 751 S Military St, Dearborn, MI 48124-2107 | 2006-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
Find all providers in zip 48124 |
Taxonomy Code | 207K00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740381086 | Asthma & Allergy Family Clinic PC | Allergy & Immunology | 23601 Ford Rd, Dearborn, MI 48128-1227 | 2006-09-26 |
1154807337 | Allergy & Immunology Associates of Dearborn PC | Allergy & Immunology | 751 S Military St, Dearborn, MI 48124-2107 | 2018-07-11 |
1689938789 | Roula Daher | Allergy & Immunology | 751 S Military St, Dearborn, MI 48124 | 2012-07-03 |
1730378738 | Allergy Associates of Dearborn | Allergy & Immunology | 751 S Military St, Dearborn, MI 48124-2107 | 2007-10-16 |
1417149428 | Midwest Health Center PC | Allergy & Immunology | 5050 Schaefer Rd, Dearborn, MI 48126-3249 | 2007-08-14 |
1659394997 | Midwest Health Center PC | Allergy & Immunology | 5050 Schaefer Rd, Dearborn, MI 48126-3249 | 2006-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
1417360660 | Allergy & Asthma Physicians of Troy, P.C. | Allergy & Immunology | 4600 Investment Drive, Suite # 110, Suite # 110, Troy, MI 48098-6366 | 2014-06-05 |
1861834095 | Herald Allen Habenicht | Allergy & Immunology | 10516 Range Line Rd, Berrien Springs, MI 49103-9203 | 2013-07-30 |
1386991461 | Lee D. Baylis, M.d. Pllc | Allergy & Immunology | 5825 S Main St Ste 203, Clarkston, MI 48346-2983 | 2012-08-08 |
1134485139 | James Austin Womack | Allergy & Immunology | 2310 W Mcnichols Rd, Detroit, MI 48221 | 2012-04-04 |
1023380797 | Leonard Samuel Gell | Allergy & Immunology | 7650 Conservation St Ne, Ada, MI 49301-9522 | 2012-01-27 |
1295065126 | Richard Kurt Vonmaur | Allergy & Immunology | 10653 Sudan St, Portage, MI 49002-7373 | 2009-12-24 |
1700038684 | James C Breneman | Allergy & Immunology | 10571 Miller Dr, Galesburg, MI 49053-8607 | 2008-10-22 |
1245493527 | Rachel Karman Kado | Allergy & Immunology | 20228 Farmington Rd, Livonia, MI 48152-1412 | 2008-07-07 |
1992979223 | Rasem David Ghannam | Allergy & Immunology | 15386 Mcleans, Spring Lake, MI 49456-2129 | 2008-04-17 |
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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.