Individual provider Active NPI

Bernadette Murorunkwere, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pflugerville, TX
National Provider Identifier
1063086981
Registry record updated Jun 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1035562 Issued in TX
Practice address
20708 Song Bird Dr
Pflugerville, TX 78660-7881
Phone
(512) 939-0329
NPI assigned
May 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1035562 TX Primary

Addresses

Primary practice location

20708 Song Bird Dr
Pflugerville, TX 78660-7881

Mailing address

PO Box 29735
San Antonio, TX 78229-0735
Phone (512) 939-0329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211111002873 TX Practitioner - Nurse Practitioner 9537558598 Reassigns benefits to 1 organization
I20220405001980 NM Practitioner - Nurse Practitioner 9537558598 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Mental Health Clinic, PLLC Psychiatric/Mental Health CurrentSince Aug 1, 2022 Accepting new patients
American Medical Group Inc. CurrentSince Apr 1, 2022 Accepting new patients
Briarwood Clinic, LLC Past Accepting new patients

Locations

2402 W Pierce St
Carlsbad, NM 88220
Phone (505) 885-2979

2410 N Fowler St
Hobbs, NM 88240
Phone (505) 392-2040

551 S Interstate 35
Ste 300
Round Rock, TX 78664
Phone (210) 775-6635

5282 Medical Dr
Ste 522
San Antonio, TX 78229
Phone (210) 281-4609

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1911/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656201600000",
    "number": "1063086981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29735",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782290735",
            "telephone_number": "512-939-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20708 SONG BIRD DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607881",
            "telephone_number": "512-939-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURORUNKWERE",
        "first_name": "BERNADETTE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-15",
        "last_updated": "2022-06-26",
        "certification_date": "2022-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1035562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.