Individual provider Active NPI

Berenice Lopez Leal, MD

  • Diagnostic Radiology Physician
  • Tampa, FL
National Provider Identifier
1184154437
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME142053 Issued in FL
Practice address
14055 Riveredge Dr Ste 250
Tampa, FL 33637-2141
Phone
(813) 929-5451
NPI assigned
Jun 19, 2017
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Diagnostic Radiology Physician 2085R0202X ME142053 FL Primary

Addresses

Primary practice location

14055 Riveredge Dr Ste 250
Tampa, FL 33637-2141

Mailing address

14055 Riveredge Dr Ste 250
Tampa, FL 33637-2141
Phone (813) 929-5451

Other practice location 1

11375 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 592-2753

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230425001061 FL Practitioner - Diagnostic Radiology 7214272822 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Baycare Outpatient Imaging LLCGroup PAC ID 3577804087, 90 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Phone (813) 929-5436

2700 Healing Way
Wesley Chapel, FL 33543-5453

4503 Bruce B Downs Blvd
Suite 104
Wesley Chapel, FL 33544-9216
Phone (813) 976-1026

7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone (813) 788-0411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME142053FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc CurrentSince May 9, 2025 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Sep 25, 2025 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology Current Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Sep 25, 2025 Accepting new patients
Great Lakes Radiology Services Diagnostic Radiology CurrentSince Dec 10, 2025 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology Past Accepting new patients

Locations

18600 Fernview St
Ste 101
Land O Lakes, FL 34638
Phone (813) 692-8010

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

14055 Riveredge Dr
Ste 250
Tampa, FL 33637
Phone (813) 396-6238

2470 Bloomingdale Ave
Ste 115
Valrico, FL 33596
Phone (727) 281-9479

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

4503 Bruce B Downs Blvd
Ste 104
Wesley Chapel, FL 33544
Phone (813) 586-8500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: bernice.lopezleal@hca4.eclinicaldirectplus.com
  • Direct secure messaging: blopezleal128024@adventhealth.direct-ci.com

Organizations & group practices 6

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 5

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": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1184154437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14055 RIVEREDGE DR STE 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336372141",
            "telephone_number": "813-929-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14055 RIVEREDGE DR STE 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336372141",
            "telephone_number": "813-929-5451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11375 Cortez Blvd",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346135409",
            "country_code": "US",
            "telephone_number": "352-592-2753",
            "fax_number": "352-592-2753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ LEAL",
        "first_name": "BERENICE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME142053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.