P Praxis·MD
● Active Type 1 · Individual

Mark Otto Bernardy, MD

Radiology·Conyers, GA· NPI 1861478588 · Enumerated 2005 · 20 years on NPI
Bernardy is 1 of 7 radiology providers in Conyers and 1 of 1280 in Georgia.
NPI age
20 years
Enumerated 2005-12-15
Primary specialty
Radiology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-02-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active radiology providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
21% of peers hold multiple states
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-12Enumerated in NPPES
2005 2026

Where they practice

Practice location
1031 Jimson Dr Se
Conyers, GA 300132064
📞 8008796274fax 6783422547
Mailing address
1031 Jimson Dr Se
Conyers, GA 300132064
📞 8008796274fax 6783422547

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    GA license #028502 taxonomy 2085R0202X

Identifiers

TypeValueNotes
01 P00256142 RR MEDICARE

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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