BERNARD EDWARD O'MALLEY MD
NPI 1164451456
Family Medicine in Poplar Grove, IL

Q: What is Bernard O'malley's NPI number?

The NPI number for Bernard O'malley is 1164451456. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Q: What is Bernard O'malley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Bernard O'malley was last updated on May 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.

Active since July 01, 2006

13539 IL ROUTE 76, POPLAR GROVE, IL 61065(815) 765-0147(815) 765-0427 Get Directions Write a Review

NPPES record last updated: May 20, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bernard Edward O'malley Md NPPES

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

BERNARD EDWARD O'MALLEY MD (NPI 1164451456) is an individual family medicine provider in Poplar Grove, Illinois, licensed in Illinois (036047509) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1164451456

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBERNARD EDWARD O'MALLEYCredential: MD

Location Address13539 IL ROUTE 76Poplar Grove, IL 61065-8815

Mailing Address13539 Il Route 76Poplar Grove, IL 61065-8815 · (815) 765-0147 · Fax (815) 765-0427

Phone(815) 765-0147

Fax(815) 765-0427

Sole ProprietorNo

Enumeration DateJuly 1, 2006

Last NPPES UpdateMay 20, 2009

✔ NPI 1164451456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036047509

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

13539 IL ROUTE 76, Poplar Grove, IL 61065

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Other Identifiers 8

Medicare ID-Type Unspecified801530IL · Medicare Group #

Other553180IL · Medicare Group Number

Medicare UPINC37257IL

Medicaid036047509IL

Medicare PIN553180025IL

Medicare ID-Type Unspecified080047786IL · Rr Individual #

Medicare ID-Type UnspecifiedCC5050IL · Rr Medicare Group #

Medicare ID-Type UnspecifiedL60771IL

Other Providers at the Same Location NPPES

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

DR. FAHEEM AHMAD MD

Family Medicine

13539 IL ROUTE 76
POPLAR GROVE, IL 61065

Boone County (815) 765-0147

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 Bernard O'malley's NPI number?

The NPI number for Bernard O'malley is 1164451456. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Bernard O'malley located?

Bernard O'malley practices at 13539 Il Route 76, Poplar Grove, IL 61065. The listed phone number is (815) 765-0147.

What is Bernard O'malley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Bernard O'malley was last updated on May 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.