Lis Carol Bernuy, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

64163 Issued in CT

Practice address

1612 W Villa Maria Rd Ste 130
Bryan, TX 77807-2309

Phone

(979) 690-4836

Fax

(979) 690-4837

NPI assigned

May 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Lis Carol Cruz Other name

Medicare fee-for-service enrollment

Enrolled in OH, CT, NY, FL4 enrollments

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 4

Specialty

Emergency MedicineAlso: Family Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Johnson Memorial Hospital Hospital, Stafford Springs, CT, CCN 070008
• Bon Secours Community Hospital Hospital, Port Jervis, NY, CCN 330135
• HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
• St Anthony Community Hospital Hospital, Warwick, NY, CCN 330205

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lbernuy2473715@direct.trinity-health.org

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.

• Cep America LLC

  • Emergency Medicine Physician
  • Waterbury, CT
  • NPI 1700681202
  Medicare reassignment Care Compare group NPD
• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment Care Compare group NPD
• Delaware River Medicine, PLLC

  • Emergency Medicine Physician
  • Port Jervis, NY
  • NPI 1457987521
  Medicare reassignment NPD
• Emergency Care Services of Connecticut, P.C.

  • Emergency Medicine Physician
  • Manchester, CT
  • NPI 1518519461
  Medicare reassignment NPD
• Emergency Physicians of Connecticut PC

  • Emergency Medicine Physician
  • Waterbury, CT
  • NPI 1902278906
  Medicare reassignment NPD
• Emergency Professional Services, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353
  Medicare reassignment NPD
• Mercy Emergency Care Services, Inc.

  • Emergency Medicine Physician
  • Toledo, OH
  • NPI 1477957819
  Medicare reassignment NPD
• Nes Medical Services of Northern Connecticut, P.C.

  • Emergency Medicine Physician
  • Putnam, CT
  • NPI 1447231865
  Medicare reassignment NPD
• Trinity Health of New England Provider Network Organization Inc

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1003882812
  Medicare reassignment NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Stafford Springs, CT
  • NPI 1427853936
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946
  NPD
• Nes Medical Services of Northern Connecticut, P.C.

  • Emergency Medicine Physician
  • Stafford Springs, CT
  • NPI 1194450478
  NPD

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

• Bay Hospital, Inc

  • General Acute Care Hospital
  • Panama City, FL
  • NPI 1699721589
  Care Compare affiliation
• Bon Secours Community Hospital

  • General Acute Care Hospital
  • Port Jervis, NY
  • NPI 1659360709
  Care Compare affiliation
• Johnson Memorial Hospital, Inc.

  • Psychiatric Hospital Unit
  • Stafford Springs, CT
  • NPI 1053480293
  Care Compare affiliation
• Johnson Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Stafford Springs, CT
  • NPI 1932123569
  Care Compare affiliation
• Johnson Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Stafford Springs, CT
  • NPI 1972728442
  Care Compare affiliation
• St. Anthony Community Hospital

  • General Acute Care Hospital
  • Warwick, NY
  • NPI 1598755324
  Care Compare affiliation

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1154613735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S TEXAS AVE",
            "address_2": "SUITE 202",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025361",
            "telephone_number": "979-774-2060",
            "fax_number": "979-776-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 W VILLA MARIA RD STE 130",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778072309",
            "telephone_number": "979-690-4836",
            "fax_number": "979-690-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNUY",
        "first_name": "LIS",
        "middle_name": "CAROL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-13",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301098212",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "64163",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q0413",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341070601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIS",
            "last_name": "CRUZ",
            "middle_name": "CAROL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Benson OB/GYN Cneter, P.a.
• Dan Allen Bentley, DDS
• Alexis Marguerite Berry
• Best Choice Healthcare
• Robin Rashmi Bhavsar, M.D.
• Christopher Odell Bibb, M.D.
• Russel Kevin Biles, M.D.

• Emergency Medicine Physician in Bryan, TX
• Providers in Bryan, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.