MARK THOMAS BERNARDI (NPI# 1073900536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073900536 |
| Entity Type | Individual |
| Full Name | MARK THOMAS BERNARDI |
| Credential | M.D. |
| Practice Address |
1005 Broadway St Quincy IL 62301-2834 |
| Practice Telephone | 2172238400 |
| Mailing Telephone | 2172238400 |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2020-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036147715 | IL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | R74934 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1609 N. Warren Ave, Tucson, AZ 85724 | 5206266312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750375606 | Mark M Bernardi | Internal Medicine | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2005-09-07 |
| Street Address |
1005 BROADWAY ST |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729087 | Mary F Barthel | Internal Medicine | 1005 Broadway St, Quincy, IL 62301-2834 | 2005-06-08 |
| 1861093528 | Kayla Cathleen Fletcher | Pharmacist | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-11-07 |
| 1124629035 | Carla Sue Smith | Clinical Nurse Specialist | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-11-06 |
| 1164023636 | Whitney Brock | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-11-02 |
| 1851918635 | Mitchell Andrew Coval | Nurse Anesthetist, Certified Registered | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-06-29 |
| 1699392415 | Jaryn S Black | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-06-27 |
| 1326677535 | Angie Rose | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-04-08 |
| 1386274843 | Lisa Marie Orton | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-01-23 |
| 1497393847 | Benjamin Nash | Nurse Anesthetist, Certified Registered | 1005 Broadway St, Quincy, IL 62301-2834 | 2019-12-17 |
| 1851938476 | Nichole Suzanne Stanley | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2019-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265750442 | Jacksonville Emergency Consultants Pa | Emergency Medicine | 23186 Blue Star Hwy, Quincy, FL 32351-5173 | 2010-05-12 |
| 1902969553 | Perry Frank Cattau | Emergency Medicine | 909 Jetty Ave, Quincy, FL 32351-2629 | 2006-12-18 |
| 1134572340 | Vincent Lawrence Boston | Emergency Medicine | 1005 Broadway St, Quincy, IL 62301-2834 | 2016-07-22 |
| 1023469640 | Mark Baker | Emergency Medicine | 1005 Broadway St, Quincy, IL 62301-2834 | 2016-06-24 |
| 1326408428 | Medexpress Urgent Care Illinois, P.C. | Emergency Medicine | 326 N 24th St, Quincy, IL 62301-3140 | 2016-03-02 |
| 1689045015 | Chavez Emergency Physicians Medical Group, Inc. | Emergency Medicine | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 | 2015-10-12 |
| 1770992778 | Bristol Emergency Physicians LLC | Emergency Medicine | 23186 Blue Star Hwy, Quincy, FL 32351-5173 | 2014-08-05 |
| 1730521352 | Quincy Creek Emergency Physicians LLC | Emergency Medicine | 23186 Blue Star Hwy, Quincy, FL 32351-5173 | 2013-07-24 |
| 1538507561 | Seth Cameron Thibodeau | Emergency Medicine | 1005 Broadway St, Quincy, IL 62301-2834 | 2013-06-12 |
| 1447696125 | Ashley Jo Martin | Emergency Medicine | 1005 Broadway St, Quincy, IL 62301-2834 | 2013-05-21 |
| Find all providers in QUINCY | ||||
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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.