Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bernadette Maria Livewell, PA-C

Individual provider Physician Assistant · NPI 1295007052

Bernadette Maria Livewell, PA-C is a Physician Assistant in Mount Laurel, New Jersey. Qualified in 2011, 15 years ago. Practices with Premier Brain and Spine LLC, a 132-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
15
Licensed in
NJ
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4000 Church Rd
Mount Laurel, NJ 08054-1110
Phone: (856) 222-4444
Fax: (856) 222-0049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 408 Chris Gaupp Dr Ste 250, Galloway, NJ 08205-4490 — (856) 222-4444
  • 102 Heritage Valley Dr Ste C, Sewell, NJ 08080-1764 — (856) 222-4444
  • 415 W Landis Ave Ste 101b, Vineland, NJ 08360-8140 — (856) 222-4444

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00277600 (NJ)

Record details

NPI number1295007052
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 8, 2012
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Premier Brain And Spine Llc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mount Laurel