MARK CRAIG BERNDT PA
NPI 1063300465
Physician Assistant - Surgical in Birmingham, AL

Active since June 25, 2025PECOS EnrolledAccepts Medicare Assignment
1716 9TH AVE S, BIRMINGHAM, AL 35233(205) 934-4194 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2026, Jun 25, 2025 (2 updates tracked since 2025).

About Mark Craig Berndt Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK CRAIG BERNDT PA (NPI 1063300465) is an individual surgical provider in Birmingham, Alabama, licensed in Alabama (2754) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Montgomery, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1063300465
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMARK CRAIG BERNDTCredential: PA
Location Address1716 9TH AVE SBirmingham, AL 35233-1124
Mailing AddressPo Box 370Fortson, GA 31808-0370
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 25, 2025
Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
NPI 1063300465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in AL · 2754
1716 9TH AVE S, Birmingham, AL 35233

Secondary Practice Location 1

Location 12173 Normandie DrMontgomery, AL 36111-2728 · Phone (334) 438-2642 · Fax (844) 689-4206

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mark Craig Berndt Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456834704
PECOS Enrollment IDI20260313003591
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1716 9TH AVE S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
1716 9TH AVE S
BIRMINGHAM, AL 35233
Occupational Therapist
1716 9TH AVE S
BIRMINGHAM, AL 35233
Physician Assistant
1716 9TH AVE S
BIRMINGHAM, AL 35233
Physician Assistant
1716 9TH AVE S
BIRMINGHAM, AL 35233
Physician Assistant
1716 9TH AVE S
BIRMINGHAM, AL 35233
Physician Assistant
1716 9TH AVE S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
1716 9TH AVE S
BIRMINGHAM, AL 35233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Berndt's NPI number?

The NPI number for Mark Berndt is 1063300465. It was assigned to this individual provider in the NPPES registry on June 25, 2025.

Where is Mark Berndt located?

Mark Berndt practices at 1716 9th Ave S, Birmingham, AL 35233. The listed phone number is (205) 934-4194.

What is Mark Berndt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Mark Berndt enrolled in Medicare?

Yes. Mark Berndt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mark Berndt was last updated on March 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.