Individual provider Active NPI

Eric A Bernauer, MD

  • Anesthesiology Physician
  • Pueblo, CO
National Provider Identifier
1053370429
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
32988 Issued in CO
Practice address
916 Indiana Ave Ste 120
Pueblo, CO 81004-3572
Phone
(719) 296-5841
Fax
(719) 542-0746
NPI assigned
Mar 22, 2006
Last updated
Apr 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 32988 CO Primary

Addresses

Primary practice location

916 Indiana Ave Ste 120
Pueblo, CO 81004-3572

Mailing address

PO Box 570
Pueblo, CO 81002-0570
Phone (719) 296-5841

Other identifiers 4

IdentifierTypeStateIssuer
01329887MedicaidCO
050044649OtherRR MEDICARE
PH18408OtherBCBS
CH6461OtherRR MEDICARE - GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20110831000577 CO Practitioner - AnesthesiologyPractitioner - Pain Management 8729258652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of South Carolina School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32988COMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Anesthesia of Pueblo, PC Anesthesiology CurrentSince Sep 1, 1996 Accepting new patients
Poudre Valley Medical Group, LLC Anesthesiology CurrentSince Jul 1, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
C. Glen Ferguson D.O. P.C. Anesthesiology Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

916 Indiana Ave
Ste 120
Pueblo, CO 81004
Phone (719) 296-5841

1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760

3676 Parker Blvd
Pueblo, CO 81008
Phone (719) 253-7000

58 Club Manor Dr
Pueblo, CO 81008
Phone (719) 584-4045

400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000

3902 Sandalwood Ln
Unit 120
Pueblo, CO 81005
Phone (719) 296-5841

Interoperability endpoints

  • FHIR API: https://fhir.healthtogo.me/fhir/r4/criterions.phyanesthesia

Organizations & group practices 4

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 7

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1053370429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810020570",
            "telephone_number": "719-296-5841",
            "fax_number": "719-542-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 INDIANA AVE STE 120",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043572",
            "telephone_number": "719-296-5841",
            "fax_number": "719-542-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNAUER",
        "first_name": "ERIC",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "32988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01329887",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "050044649",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PH18408",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE - GROUP",
            "identifier": "CH6461",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.