Shad Theodore Bernard , MA, ATC, L
Specialist • Dayton, OH
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Shad Bernard has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Shad Bernard, MA, ATC, L was a registered Specialist practicing in Dayton, OH. Throughout an active medical career spanning 18 years, Shad Bernard provided care at the practice location at 1997 MIAMISBURG CENTERVILLE RD until profile deactivation on 2024-12-26.
Practice Location & Contact Primary Location
1997 Miamisburg Centerville Rd
Dayton, OH 454593811
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Dayton, OH
Practicing in Dayton, OH (1444 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Specialist/Technologist - Athletic Trainer
Specialist/Technologist - Athletic Trainer
Specialist/Technologist - Athletic Trainer
AT, Certified Athletic Trainer
Specialist/Technologist - Athletic Trainer
Certified Athletic Trainer
Specialist/Technologist - Athletic Trainer
Master of Arts, Certified Athletic Trainer, Licensed Athletic Trainer
Specialist/Technologist - Athletic Trainer
AT, Certified Athletic Trainer, AEMT
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 26, 2024
NPI status registered as active in NPPES database
Registered at 1997 MIAMISBURG CENTERVILLE RD, DAYTON, OH 454593811 (Tel: 9374016400)
Registered at 5077 TEWKESBURY DR, DAYTON, OH 454243752 (Tel: 9372371018)
Recorded as SHAD BERNARD, MA, ATC/L
Specialist (License #AT-001528 in OH)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
5077 Tewkesbury Dr
Dayton, OH 454243752
Phone: 9372371018
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