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

Dr. Bernardo Fabian Diaz Jr., MD

Individual provider Surgery Physician · NPI 1609255447

Dr. Bernardo Fabian Diaz Jr., MD is a General Surgery in Hagerstown, Maryland. Qualified in 2014, 12 years ago. Practices with Medical Practices of Antietam, LLC, a 231-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland, Missouri and Pennsylvania.

Years since qualifying
12
Licensed in
MD, MO, PA
In the registry since
2015
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11110 Medical Campus Rd Ste 143
Hagerstown, MD 21742-6755
Phone: (301) 714-4350
Show map & directions

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

Additional practice locations (1)

  • 1965 S Fremont Ave Ste 230, Springfield, MO 65804-2258 — (417) 820-7250

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence D98084 (MD)
Surgery Physician Taxonomy 208600000X · Licence 654947 (PA)
Surgery Physician Taxonomy 208600000X · Licence 2022030140 (MO)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence MD473032 (PA)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 2022030140 (MO)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 2022030140 (MO)

Record details

NPI number1609255447
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2015
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Medical Practices Of Antietam, Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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