Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corwin Bernard

Individual provider Medical Physician Assistant · NPI 1144023243

Corwin Bernard is a Physician Assistant in Petersburg, Virginia. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2025

Practice location Address checks out

200 Medical Park Blvd
Petersburg, VA 23805-9274
Phone: (480) 600-0948
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (VA)

Record details

NPI number1144023243
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 1, 2025
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025
Mailing address200 Medical Park Blvd, Petersburg, VA 23805-9274

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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