MICHAEL THOMAS BERNHARDT (NPI# 1922530229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922530229 |
| Entity Type | Individual |
| Full Name | MICHAEL THOMAS BERNHARDT |
| Practice Address |
9040 Jackson Ave Joint Base Lewis Mcchord WA 98431-1000 |
| Mailing Address |
9040 Jackson Ave Joint Base Lewis Mcchord WA 98431-0001 |
| Practice Telephone | 2539681330 |
| Mailing Telephone | 2539681330 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2019-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 31308 | NE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336167683 | Michael Nicholas Bernhardt | Chiropractor | 251 New Karner Rd Suite 303, Albany, NY 12205 | 2006-07-17 |
| 1386695054 | Michael Jay Bernhardt | Dermatology | 1849 S Osprey Ave, Sarasota, FL 34239-3614 | 2006-05-15 |
| Street Address |
9040 JACKSON AVE |
| City | JOINT BASE LEWIS MCCHORD |
| State | WA |
| Zip Code | 98431-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033675046 | Timothy William Wright | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-1000 | 2019-02-14 |
| 1619433885 | Micheal Irelan | General Practice | 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-1000 | 2019-02-13 |
| 1366907727 | Nicholas Dean Walther | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-1000 | 2019-02-09 |
| 1780149237 | Austin Dale Jones | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-1000 | 2019-02-08 |
| 1083179964 | William Bai Lu Ji | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-1000 | 2019-02-05 |
| 1427513639 | Logan August Dobbe | General Practice | 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-1000 | 2019-02-01 |
| 1033685375 | Malea Elizabeth Wigand | Social Worker | 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2018-10-14 |
| 1497255178 | Nathan Mercer | General Practice | 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2018-02-19 |
| 1255855649 | Megan Christine Souza | Emergency Medical Technician, Basic | 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2017-07-27 |
| 1013458363 | Gabriel Paris | Military Health Care Provider | 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431 | 2017-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497296842 | Brittany Wake | Pediatrics | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2017-03-18 |
| 1861851404 | Trevor D Beardsley | Pediatrics | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2016-02-10 |
| 1386034700 | Michael Anthony Boechler | Pediatrics | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2015-01-24 |
| 1881642262 | Amy Connors | Pediatrics | 690 Barnes Blvd, Mcchord Field, Joint Base Lewis Mcchord, WA 98438-1303 | 2006-05-05 |
| 1700877529 | Keith M Lemmon | Pediatrics | 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-1100 | 2005-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252011 | T-town Pediatrics Pllc | Pediatrics | 6002 Westgate Blvd Ste 260, Tacoma, WA 98406-2571 | 2020-10-15 |
| 1659997831 | Lauren Elizabeth Strout | Pediatrics | 2510 N Pines Rd Ste 1, Spokane Valley, WA 99206-7636 | 2020-06-23 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1407491251 | Edwin Low | Pediatrics | 6207 156th Ave Ne, Redmond, WA 98052-4828 | 2019-11-14 |
| 1700428323 | Michelle Kice | Pediatrics | 6201 Reid Dr Nw, Gig Harbor, WA 98335-1349 | 2019-10-15 |
| 1265085682 | North Sound Pediatrics | Pediatrics | 15808 Mill Creek Blvd Ste 201, Mill Creek, WA 98012-1500 | 2019-07-24 |
| 1053976589 | Nicole Marie Banks | Pediatrics | 9910 Levin Rd Nw Ste 200, Silverdale, WA 98383-7789 | 2019-05-09 |
| 1962964726 | Michael Arenson | Pediatrics | 4800 Sand Point Way Ne # Oc 7/8, Seattle, WA 98105-3901 | 2019-04-02 |
| 1083179154 | Sea - Mar Community Health Center | Pediatrics | 9635 Des Moines Memorial Dr, Seattle, WA 98108-5061 | 2019-02-04 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
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| City | JOINT BASE LEWIS MCCHORD |
| Zip Code | 98431 |
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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.