THOMAS G. BERNHARDT (NPI# 1558431569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558431569 |
| Entity Type | Individual |
| Full Name | THOMAS G. BERNHARDT |
| Credential | M.S., LCAS |
| Practice Address |
705 S Mangum St Durham NC 27701-3904 |
| Mailing Address |
106 Hampstead Heath Ln Apex NC 27502-4357 |
| Practice Telephone | 9196831607 |
| Practice Fax Number | 9196831790 |
| Mailing Telephone | 9192676602 |
| Mailing Fax Number | 9196831790 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2010-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
962 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6111915 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992781934 | Thomas Bernhardt | Anesthesiology | 1505 Eastland Dr, Ll 1400, Bloomington, IL 61701-3534 | 2005-12-21 |
| Street Address |
705 S MANGUM ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27701-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518317189 | John Ervin | Counselor | 705 S Mangum St, Durham, NC 27701-3904 | 2016-06-15 |
| 1881041366 | Michael Dever | Counselor | 705 S Mangum St, Durham, NC 27701-3904 | 2016-05-16 |
| 1821494097 | Cheryl Denise Carpenter | Physician Assistant | 705 S Mangum St, Durham, NC 27701-3904 | 2014-11-14 |
| 1699178749 | Lauren Brookshire | Social Worker | 705 S Mangum St, Durham, NC 27701-3904 | 2014-10-03 |
| 1871862474 | Jacqueline Yvette Lowry | Counselor | 705 S Mangum St, Durham, NC 27701-3904 | 2011-12-28 |
| 1801163605 | Heather D. R. Clevinger | Social Worker | 705 S Mangum St, Durham, NC 27701-3904 | 2011-11-22 |
| 1508178872 | Mary Sterling Jones | Counselor | 705 S Mangum St, Suite C1, Durham, NC 27701-3904 | 2010-07-02 |
| 1891928354 | Tara Clements Conti | Nurse Practitioner | 705 S Mangum St, Durham, NC 27701-3904 | 2009-09-01 |
| 1295983039 | Marie C Holliday | Counselor | 705 S Mangum St, Baart Programs, Durham, NC 27701-3904 | 2008-09-05 |
| 1518130236 | Marnie A Scheer | Counselor | 705 S Mangum St, Durham, NC 27701-3904 | 2008-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952956179 | Sa'naa Lenoir | Naturopath | 1213 Avondale Drive Suite 4, Durham, NC 27701 | 2019-08-05 |
| 1225682792 | Sherifat Balogun | Pharmacist | 406 Rigsbee Ave Suite 201, Durham, NC 27701 | 2019-08-01 |
| 1427575950 | Kristen Kesler Desena | Speech-Language Pathologist | 1105 Englewood Avenue, Durham, NC 27701 | 2017-08-25 |
| 1295255263 | Tiffany Claire Ashe | Social Worker | 331 W Main St Ste 308, Durham, NC 27701 | 2017-06-21 |
| 1265815096 | Colleen Hamman | Specialist/Technologist | 616 E Lawson St, Durham, NC 27701 | 2015-06-29 |
| 1366843286 | Gene Mcphaul | Counselor | 3545 Mayfair St, Durham, NC 27701 | 2014-09-10 |
| 1245652957 | Michelle Annette Underdue | Social Worker | 801 East Main Street, Suite 2-120, Durham, NC 27701 | 2014-01-15 |
| 1518306109 | Lincicome Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300-a Northwood Circle, Durham, NC 27701 | 2013-06-18 |
| 1669754693 | Ruffin Home 2 | Assisted Living Facility | 830 N. Mangum St., Durham, NC 27701 | 2011-09-15 |
| 1609192657 | Samaritan Health Center, Inc. | Clinic/Center | 507 E. Knox Street, Durham, NC 27701 | 2010-04-15 |
| Find all providers in zip 27701 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927723 | Irene Dormenie Jackson | Counselor | 904 Woodgreen Dr, Durham, NC 27704-6034 | 2020-09-18 |
| 1285252379 | Chrissteller Taylor | Counselor | 4808 Fortunes Ridge Dr, Durham, NC 27713-9348 | 2020-07-06 |
| 1376169482 | Livia Corry | Counselor | 2410 Presidential Dr Ste 105, Durham, NC 27703-8021 | 2020-06-24 |
| 1639723794 | Philip Marschall | Counselor | 3003 Corinth Ln, Durham, NC 27704-3271 | 2019-07-27 |
| 1497317887 | Francisco Javier Contreras Hernandez | Counselor | 2020 Chapel Hill Rd, Durham, NC 27707-1184 | 2019-07-05 |
| 1235696378 | Aleesha Hughes | Counselor | 2609 N Duke St Ste 403, Durham, NC 27704-3048 | 2019-02-25 |
| 1629569280 | Nyesha Shanta Robinson | Counselor | 2530 Meridian Pkwy Ste 2055, Durham, NC 27713-5272 | 2018-05-19 |
| 1588166243 | Shane Phillips | Counselor | 411 Trent Drive, Durham, NC 27710-0001 | 2018-03-08 |
| 1366954356 | Jamie Lee Washington | Counselor | 2310 S Miami Blvd Ste 136, Durham, NC 27703-5799 | 2017-10-30 |
| 1508381369 | Lacrisha Holcomb | Counselor | 1822 East Highway 54, Suite 300, Durham, NC 27713 | 2017-08-13 |
| Find all providers in DURHAM | ||||
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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.