Berenice Castaneda Serpas, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

28278 Issued in PR

Practice address

4706 Tidewater Dr
Houston, TX 77045-4138

Phone

(713) 498-7291

NPI assigned

Jul 13, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17774/brand/1/csg/1/fhir/r4

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.

• Cullman Regional Medical Center, Inc

  • General Acute Care Hospital
  • Cullman, AL
  • NPI 1114919339
  Medicare reassignment NPD
• Horizon Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Oneonta, AL
  • NPI 1588904791
  Medicare reassignment NPD
• Southview Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Hanceville, AL
  • NPI 1033554357
  Medicare reassignment NPD
• Cullman Regional Medical Center, Inc

  • Medical Specialty Clinic/Center
  • Cullman, AL
  • NPI 1477862134
  NPD
• Cullman Regional Medical Center, Inc

  • Radiology Clinic/Center
  • Hartselle, AL
  • NPI 1710640305
  NPD
• Midway Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Oneonta, AL
  • NPI 1386984649
  NPD
• Growing Up Pediatrics, P.C.

  • Pediatrics Physician
  • Birmingham, AL
  • NPI 1356456214
  NPD (past)

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1154676302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ARKADELPHIA RD NE",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "350774700",
            "telephone_number": "256-352-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4706 TIDEWATER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770454138",
            "telephone_number": "713-498-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERPAS",
        "first_name": "BERENICE",
        "middle_name": "CASTANEDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "28278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocio Serna
• Selena Serna
• Victoria Isabella Serna
• Luis Serpa, CRNA
• Rocio Serpa, AGACNP-BC
• Silvestre Estabello Serrano Jr., P.T.
• Bethzaida Serrano-Clowers, MD
• Alba Lilian Serrano
• Clarice G Serrano, PT
• Claudia Isabel Serrano

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.