Individual provider Active NPI

Bernardo Olaya, M.D. P.A.

  • Obstetrics Physician
  • Wichita Falls, TX
National Provider Identifier
1033169818
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
G8740 Issued in TX
Practice address
2211 Midwestern Pkwy
Wichita Falls, TX 76308-2300
Phone
(940) 766-6500
Fax
(940) 766-6506
NPI assigned
May 11, 2006
Last updated
May 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G8740 TX
Obstetrics Physician 207VX0000X G8740 TX Primary

Addresses

Primary practice location

2211 Midwestern Pkwy
Wichita Falls, TX 76308-2300

Mailing address

PO Box 4106
Wichita Falls, TX 76308-0106
Phone (940) 766-6500

Other identifiers 2

IdentifierTypeStateIssuer
8AJ784OtherTXBLUE CROSS/BLUE SHIELD
111702004MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050216000101 TX Practitioner - Obstetrics/Gynecology 1153373329 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Multi-Specialty Current Accepting new patients
Obhg Texas Holdings, P.a. Multi-Specialty CurrentSince Feb 13, 2020 Accepting new patients
Columbia Medical Center of Arlington Subsidiary LP Past Accepting new patients
Questcare Obstetrics PLLC Multi-Specialty Past Accepting new patients

Locations

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

Interoperability endpoints

  • Direct secure messaging: bolaya14411@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1033169818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4106",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763080106",
            "telephone_number": "940-766-6500",
            "fax_number": "940-766-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MIDWESTERN PKWY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082300",
            "telephone_number": "940-766-6500",
            "fax_number": "940-766-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAYA",
        "first_name": "BERNARDO",
        "name_prefix": "Dr.",
        "credential": "M.D. P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "G8740",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "G8740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "8AJ784",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111702004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.