MARK OTTO BERNARDY MD
NPI 1861478588
Radiology - Diagnostic Radiology in Conyers, GA

Active since December 15, 2005
1031 JIMSON DR SE, CONYERS, GA 30013(800) 879-6274(678) 342-2547 Get Directions Write a Review

NPPES record last updated: February 29, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Otto Bernardy Md NPPES

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

MARK OTTO BERNARDY MD (NPI 1861478588) is an individual diagnostic radiology provider in Conyers, Georgia, licensed in Georgia (028502) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1861478588
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMARK OTTO BERNARDYCredential: MD
Location Address1031 JIMSON DR SEConyers, GA 30013-2064
Mailing Address1031 Jimson Dr SeConyers, GA 30013-2064 · (800) 879-6274 · Fax (678) 342-2547
Fax(678) 342-2547
Sole ProprietorNo
Enumeration DateDecember 15, 2005
Last NPPES UpdateFebruary 29, 2008
NPI 1861478588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in GA · 028502
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1031 JIMSON DR SE, Conyers, GA 30013

Other Identifiers 3

Medicare UPINE87628GA
Medicare ID-Type Unspecified30BDMLHGA
OtherP00256142Rr Medicare

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 Bernardy's NPI number?

The NPI number for Mark Bernardy is 1861478588. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Mark Bernardy located?

Mark Bernardy practices at 1031 Jimson Dr SE, Conyers, GA 30013. The listed phone number is (800) 879-6274.

What is Mark Bernardy's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Mark Bernardy was last updated on February 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.