Active NPI
Bernice Gonzalez, MD
- Family Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J6466
- Practice address
- 2520 Broadway St
Suite 100
San Antonio, TX 78215-1004 - Phone
- (210) 595-1019
- Fax
- (210) 251-3194
- NPI assigned
- Jul 14, 2005
- Last updated
- Nov 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J6466 | TX | Primary |
Addresses
Primary practice location
2520 Broadway St
Suite 100
San Antonio, TX 78215-1004
Mailing address
2520 Broadway St
Suite 100
San Antonio, TX 78215-1004
Phone (210) 595-1019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical School at San Antonio, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16400 Blanco Rd
San Antonio, TX 78232-1902
Phone (210) 572-4954
3066 E Commerce St
Communicare HLTH CTRS
San Antonio, TX 78220-1013
Phone (210) 233-7070
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bernice Gonzalez, MD, PA | Current | Accepting new patients | |
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients | |
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients | |
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients | |
| Stone Oak Family Doctors PA | Family Medicine | Past | Accepting new patients |
Locations
1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513
2520 Broadway St
Ste 100
San Antonio, TX 78215
Phone (210) 595-1019
3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062
418 N Loop 1604 W
San Antonio, TX 78232
Phone (210) 595-1019
Interoperability endpoints
- https://api.platform.athenahealth.com/12437/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/6312/brand/1/csg/1/fhir/r4
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.
-
dba CommuniCare Health Centers
- Federally Qualified Health Center (FQHC)
- San Antonio, TX
- NPI 1902883739
-
dba Vital Life Wellness Center
- Clinic/Center
- San Antonio, TX
- NPI 1184894701
-
- Rehabilitation Clinic/Center
- San Antonio, TX
- NPI 1962054858
-
- Federally Qualified Health Center (FQHC)
- San Marcos, TX
- NPI 1295601052
-
dba Communicare Health Centers
- Federally Qualified Health Center (FQHC)
- San Marcos, TX
- NPI 1386882231
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1295875052
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383955200000",
"number": "1184622904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 BROADWAY ST",
"address_2": "SUITE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782151004",
"telephone_number": "210-595-1019",
"fax_number": "210-251-3194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 BROADWAY ST",
"address_2": "SUITE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782151004",
"telephone_number": "210-595-1019",
"fax_number": "210-251-3194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "BERNICE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-14",
"last_updated": "2013-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J6466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2013; 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.