JOHNNY BERNARD JR MD LLC
NPI 1861167694
Radiology - Radiation Oncology in Palm Coast, FL
About Johnny Bernard Jr Md Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHNNY BERNARD JR MD LLC (NPI 1861167694) is a healthcare organization registered as a radiation oncology in Palm Coast, Florida and active in the NPI registry since August 2021. The organization lists Johnny R Bernard, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Johnny Bernard Jr Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Johnny Bernard Jr MD LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Johnny Bernard Jr MD LLC's NPI number?
The NPI number for Johnny Bernard Jr MD LLC is 1861167694. It was assigned to this organization in the NPPES registry on August 13, 2021.
Where is Johnny Bernard Jr MD LLC located?
Johnny Bernard Jr MD LLC is located at 6029 Old Kings Rd, Palm Coast, FL 32137. The listed phone number is (386) 229-5910.
What is Johnny Bernard Jr MD LLC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.
Is Johnny Bernard Jr MD LLC enrolled in Medicare?
Yes. Johnny Bernard Jr MD LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Johnny Bernard Jr MD LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Radiation Oncology) reassigns their Medicare billing to Johnny Bernard Jr MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Johnny Bernard Jr MD LLC was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Johnny Bernard Jr Md Llc · NPI 1861167694
Radiation Oncology organization in Palm Coast, Florida. Organization record, active in the CMS NPPES registry since August 13, 2021.
## Identity
- **NPI:** 1861167694 (Entity type: Organization)
- **Enumerated:** August 13, 2021
- **Primary specialty:** Radiology - Radiation Oncology · taxonomy 2085R0001X
- **Organization subpart:** No
- **Authorized official:** Johnny Bernard, OWNER
## Practice location
- **Address:** 6029 OLD KINGS RD, Palm Coast, FL 32137-5181
- **Phone:** (386) 229-5910 · **Fax:** (386) 229-5914
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Radiation Oncology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1861167694) · Data from the CMS NPPES public registry.