Individual provider Active NPI

Francisco J Bernal Perez, DNP

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1083165369
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9246807 Issued in FL
Practice address
1 SW 129TH Ave Ste 405
Pembroke Pines, FL 33027-1718
Phone
(954) 228-8180
Fax
(954) 228-8183
NPI assigned
Oct 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9246807 FL Primary

Addresses

Primary practice location

1 SW 129TH Ave Ste 405
Pembroke Pines, FL 33027-1718

Mailing address

1884 NW 139TH Ave
Pembroke Pines, FL 33028-2839
Phone (786) 365-6624

Other practice location 1

1884 NW 139th Ave
Pembroke Pines, FL 33028-2839
Phone (786) 365-6624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180614002832 FL Practitioner - Nurse Practitioner 2062574221 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9246807FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Plus Inc CurrentSince Jun 1, 2024 Accepting new patients
Kidney Doctors Dialysis Center Inc PastSince Oct 19, 2018 Accepting new patients

Locations

1 SW 129th Ave
Ste 405
Pembroke Pines, FL 33027
Phone (954) 228-8180

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.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1083165369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1884 NW 139TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282839",
            "telephone_number": "786-365-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SW 129TH AVE STE 405",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271718",
            "telephone_number": "954-228-8180",
            "fax_number": "954-228-8183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1884 NW 139th Ave",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330282839",
            "country_code": "US",
            "telephone_number": "786-365-6624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNAL PEREZ",
        "first_name": "FRANCISCO",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-20",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9246807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.