CORWIN BERNARD
NPI 1144023243
Physician Assistant - Medical in Petersburg, VA

Active since April 01, 2025PECOS Enrolled
200 MEDICAL PARK BLVD, PETERSBURG, VA 23805(480) 600-0948 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2025, Apr 1, 2025 (2 updates tracked since 2025).

About Corwin Bernard NPPES

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

CORWIN BERNARD (NPI 1144023243) is an individual medical provider in Petersburg, Virginia and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS, is affiliated with Bon Secours Southside Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1144023243
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameCORWIN BERNARD
Location Address200 MEDICAL PARK BLVDPetersburg, VA 23805-9274
Mailing Address200 Medical Park BlvdPetersburg, VA 23805-9274
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 1, 2025
Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
NPI 1144023243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
200 MEDICAL PARK BLVD, Petersburg, VA 23805

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Corwin Bernard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658872700
PECOS Enrollment IDI20250829001566
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490067
Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County
Emergency services Birthing friendly

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.

Student in an Organized Health Care Education/Training Program
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Physician Assistant
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Internal Medicine
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Physician Assistant
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Emergency Medicine
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Emergency Medicine
200 MEDICAL PARK BLVD, EMERGENCY DEPARTMENT
PETESBURG, VA 23805
Nurse Anesthetist, Certified Registered
200 MEDICAL PARK BLVD, SOUTHSIDE REGIONAL MEDICAL CENTER
PETERSBURG, VA 23805
Student in an Organized Health Care Education/Training Program
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805

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 Corwin Bernard's NPI number?

The NPI number for Corwin Bernard is 1144023243. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Corwin Bernard located?

Corwin Bernard practices at 200 Medical Park Blvd, Petersburg, VA 23805. The listed phone number is (480) 600-0948.

What is Corwin Bernard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Corwin Bernard enrolled in Medicare?

Yes. Corwin Bernard is registered in the Medicare PECOS enrollment system.

Is Corwin Bernard affiliated with any hospitals?

According to CMS data, Corwin Bernard is affiliated with Bon Secours Southside Medical Center.

When was this NPI record last updated?

The NPPES record for Corwin Bernard was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.