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

Individual provider Pediatrics Physician · NPI 1740391630

Dr. Bernetta Lynne Avery, MD is a Pediatrics Physician in Brooklyn, New York. Works from 2 locations. Licensed in California, New York, Oregon and Washington.

Licensed in
CA, NY, OR, WA
In the registry since
2006
Specialties on file
4
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

209 York St
Brooklyn, NY 11201-1509
Phone: (718) 630-7942
Fax: (718) 630-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 501 Se 172nd Ave, Vancouver, WA 98684-9542 — (360) 288-2778

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 301639-01 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence MD 60265069 (WA)
Pediatrics Physician Taxonomy 208000000X · Licence MD150622 (OR)
Pediatrics Physician Taxonomy 208000000X · Licence A91477 (CA)

Record details

NPI number1740391630
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021
Mailing address700 Ne 87th Ave, Vancouver, WA 98664-1913

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