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

Dr. Amanda Born Bernath, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083024277

Dr. Amanda Born Bernath, MD is a Family Practice in Shawano, Wisconsin. Qualified in 2014, 12 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

100 County Road B
Shawano, WI 54166-7072
Phone: (715) 524-2161
Fax: (715) 526-3461
Show map & directions

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

Additional practice locations (1)

  • 2400 W Villard Ave, Milwaukee, WI 53209-4901 — (414) 527-8348

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 65840 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083024277
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 28, 2014
Last updated in NPPESJuly 21, 2022
Mailing address122 E College Ave, Appleton, WI 54911-5794

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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