Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740391630 Individual Practitioner Female Practitioner

Dr. Bernetta Lynne Avery , MD

Pediatrics • Brooklyn, NY

Professional Overview & Biography Verified Profile Summary

Dr. Bernetta Avery, MD is a registered healthcare professional specializing in Pediatrics in Brooklyn, NY. Practice services are available at 209 YORK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

209 York St

Brooklyn, NY 112011509

Telephone 7186307942
Fax 7186307000
Associated Practice Facility / Clinic
🏢 The Vancouver Clinic Inc Ps Facility NPI 1992759427

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Brooklyn, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.1 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
769 Specialists

Practicing in Brooklyn, NY (6127 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-06
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 301639-01

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License WA MD 60265069

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License OR MD150622

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License CA A91477

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00A914770 (CA)

Secondary Practice Locations

501 Se 172nd Ave, Tvc - Department Of Pediatrics

Vancouver, WA 986849542

Phone: 3602882778

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003537937
Romana Ahmad , OT

Occupational Therapist

NPI 1003980723

Occupational Therapist

Dawn Green , SLP

Speech-Language Pathologist

NPI 1013081769

Speech-Language Pathologist

Dr. Robert Rydstrom , DMD

Student in an Organized Health Care Education/Training Program

NPI 1073252771

Doctor of Dental Medicine

Dr. Revant Grewal , MD

Internal Medicine

NPI 1093200115

Doctor of Medicine (M.D.)

Kelsey Cho

Student in an Organized Health Care Education/Training Program

NPI 1093571861

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2021

Pediatrics (License #301639-01 in NY)

📍
Updated Practice Location October 30, 2019

Registered at 209 YORK ST, BROOKLYN, NY 112011509 (Tel: 7186307942)

NPI Profile Active November 09, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2012

Registered at 501 SE 172ND AVE, TVC - DEPARTMENT OF PEDIATRICS, VANCOUVER, WA 986849542 (Tel: 3602882778)

📍
Updated Business Mailing Address November 09, 2012

Registered at 700 NE 87TH AVE, VANCOUVER, WA 986641913 (Tel: 3603973352)

👤
Provider Name / Credentials Updated November 09, 2012

Recorded as BERNETTA AVERY, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2012

Pediatrics (License #MD 60265069 in WA)

🟢
Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740391630
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: August 06, 2021
Sole Proprietor: No

Mailing Address

700 Ne 87th Ave

Vancouver, WA 986641913

Phone: 3603973352

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.