NPIMap

Individual provider Active NPI

Cruz Alberto Bernal Jr., M.D

  • Family Medicine Physician
  • Eagle Pass, TX
National Provider Identifier
1023402575
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R7665 Issued in TX
Practice address
590 E Main St Ste B
Eagle Pass, TX 78852-4773
Phone
(830) 773-3331
NPI assigned
Mar 23, 2015
Last updated
Jan 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10052383 TX
Hospitalist Physician 208M00000X R7665 TX
Family Medicine Physician 207Q00000X R7665 TX Primary

Addresses

Primary practice location

590 E Main St Ste B
Eagle Pass, TX 78852-4773

Mailing address

590 E Main St Ste B
Eagle Pass, TX 78852-4773
Phone (830) 773-3331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180731003235 TX Practitioner - Family PracticePractitioner - Hospitalist 6406141464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

590 E Main St
Eagle Pass, TX 78852-4773
Phone (830) 733-3331

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cruz Alberto Bernal MD PLLC Family Medicine CurrentSince Jul 7, 2020 Accepting new patients
Fort Duncan Medical Center L.P Past Accepting new patients
Val Verde County Hospital District Past Accepting new patients
Eagle Pass I Enterprises, LLC Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Fort Duncan Medical Center LP Past Accepting new patients

Locations

590 E Main St
Ste A
Eagle Pass, TX 78852
Phone (830) 733-3331

590 E Main St
Ste B
Eagle Pass, TX 78852
Phone (830) 773-3331

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1023402575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 E MAIN ST STE B",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524773",
            "telephone_number": "830-773-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 E MAIN ST STE B",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524773",
            "telephone_number": "830-773-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNAL",
        "first_name": "CRUZ",
        "middle_name": "ALBERTO",
        "name_suffix": "Jr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-23",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10052383",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "R7665",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R7665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

Verify at the official NPI Registry.