DR. JOHNNY R. BERNARD JR. (NPI# 1972510493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972510493 |
| Entity Type | Individual |
| Full Name | DR. JOHNNY R. BERNARD JR. |
| Credential | M.D. |
| Practice Address |
211 E International Speedway Blvd Ste 108 Daytona Beach FL 32118 |
| Mailing Address |
211 E International Speedway Blvd Ste 108 Daytona Beach FL 32118-4662 |
| Practice Telephone | 8667379333 |
| Practice Fax Number | 8667379333 |
| Mailing Telephone | 8667379333 |
| Mailing Fax Number | 8667379333 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
35099044 | OH | Allopathic & Osteopathic Physicians |
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME96366 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4867 Palm Coast Pkwy Nw Unit 4, Palm Coast, FL 321373663 | 8334469663 | |
| 680 Peachwood Dr, Deland, FL 327200902 | 3869437160 | 3867386824 |
| Street Address |
211 E INTERNATIONAL SPEEDWAY BLVD STE 108 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407476633 | Adel Demetrious | Dentist | 2727 North Atlantic, Ave, Suite 121, Dayton Beach, FL 32118 | 2020-04-17 |
| 1518433804 | Tara James | Nurse Practitioner | 224 Seabreeze Blvd, Daytona Beach, FL 32118 | 2018-10-15 |
| 1760835706 | Barbara Fuller | Early Intervention Provider Agency | 125 Cheshire Rd, Daytona Beach, FL 32118 | 2016-07-14 |
| 1821486457 | Emily Catherine Lounsbury | Nurse Practitioner | 3512 South Atlantic Avenue, Daytona Beach Shores, FL 32118 | 2015-01-06 |
| 1215334370 | Shores Medical Center | Nurse Practitioner | 3512 S Atlantic Blvd, Daytona Beach Shores, FL 32118 | 2014-12-04 |
| 1619305075 | Kimberly Barr Beck-frate | Counselor | 444 Seabreeze Blvd., Integrative Crisis Management, Suite 725, Daytona Beach, FL 32118 | 2013-10-23 |
| 1104190792 | Demetrius Marketing LLC | Dentist | 2570 South Atlantic Ave., Marina Dental Center, Daytona Beach Shores, FL 32118 | 2012-02-29 |
| 1255603189 | A1a Medical | General Practice | 1401 North Atlantic Avenue, Daytona Beach, FL 32118 | 2012-02-08 |
| 1184755654 | David Gaughan | Physical Medicine & Rehabilitation | 3512 S Atlantic Av., Daytona Beach Shores, FL 32118 | 2007-03-08 |
| 1952497612 | Ability Health Services, Inc | Durable Medical Equipment & Medical Supplies | 614 N. Penisula Dr, Daytona Beach, FL 32118 | 2006-10-04 |
| Find all providers in zip 32118 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386646461 | Michael Pirkowski | Radiology | 1620 Mason Ave, Suite E, Daytona Beach, FL 32117-7802 | 2005-08-10 |
| 1093824930 | Charles David Hechtman | Radiology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-08-30 |
| 1962438531 | Brad Anthony Factor | Radiology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-06-24 |
| 1689614133 | John Francis Reilly Jr. | Radiology | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2006-06-06 |
| 1417908658 | Halifax Healthcare Systems Inc | Radiology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-05-12 |
| 1457300014 | Florida Oncology Network Pa | Radiology | 224 Memorial Medical Pkwy, Daytona Beach, FL 32117-5122 | 2006-05-09 |
| 1538122288 | Joyce Ann Battle | Radiology | 303 N Clyde Morris Blvd, Radiation Oncology Dept, Daytona Beach, FL 32114-2709 | 2006-04-11 |
| 1003879099 | Radiation Oncology Associates of Central Florida,pa | Radiology | 303 N Clyde Morris Blvd, Roc Ground Floor, Daytona Beach, FL 32114-2709 | 2006-04-10 |
| 1700887890 | Ronald Joseph Krochak | Radiology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539079 | Mydoctoreb LLC | Radiology | 17407 Lotino Pl, Lutz, FL 33548-4815 | 2020-08-20 |
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1962970111 | William A Assad, M.d. | Radiology | 3202 Henderson Blvd Ste 204a, Tampa, FL 33609-3043 | 2018-11-06 |
| 1508361361 | Marian Ingram | Radiology | 350 Nw 84th Ave Ste 102, Plantation, FL 33324-1820 | 2018-03-26 |
| 1376051870 | Indian River Health Services Inc | Radiology | 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 | 2018-01-18 |
| 1417492497 | Flagler Hospital, Inc. | Radiology | 97 Health Park Blvd, Saint Augustine, FL 32086-5777 | 2016-12-29 |
| 1447614441 | Benjamin Spieler | Radiology | 1475 Nw 12th Ave # Sccc1500, Miami, FL 33136-1002 | 2016-04-06 |
| 1629461371 | Florida Oncology Tavares, LLC | Radiology | 2010 Nightingale Ln, Tavares, FL 32778-4361 | 2015-03-05 |
| 1285042036 | Gulf Region Radiation Oncology Centers | Radiology | 1545 Airport Blvd Ste 1000, Pensacola, FL 32504-8615 | 2014-07-24 |
| 1962812917 | Florida Oncology Partners LLC | Radiology | 1100 N.w. 95 Street, Cancer Center, Miami, FL 33150-2038 | 2014-04-29 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32118 |
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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.