Individual provider Active NPI

Bernardino Villescas Jr., M.D.

  • Internal Medicine Physician
  • Harlingen, TX
National Provider Identifier
1194167262
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BP10045904 Issued in TX
Practice address
2101 Pease St
Harlingen, TX 78550-8307
Phone
(956) 389-1100
NPI assigned
Jul 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01081600A IN
Hospitalist Physician 208M00000X 01081600A IN
Internal Medicine Physician 207R00000X BP10045904 TX Primary

Addresses

Primary practice location

2101 Pease St
Harlingen, TX 78550-8307

Mailing address

705 Alameda St
San Juan, TX 78589-2307
Phone (956) 369-9658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, RI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20161212001040 GA Practitioner - Internal Medicine 2860772753 Reassigns benefits to 2 organizations
I20210125001588 RI Practitioner - Internal Medicine 2860772753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Healthcare of Georgia PCGroup PAC ID 2961483607, 252 clinicians

Practice addresses (Care Compare)

1170 Cleveland Ave
East Point, GA 30344-3615
Phone (404) 466-1170

459 Hwy 119 S
Springfield, GA 31329-3021
Phone (912) 754-6451

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10045904TXMDInternal Medicine Physician
01081600AINMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Effingham Hospital, Inc. CurrentSince May 1, 2021 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Nov 11, 2020 Accepting new patients
Effingham Hospital, Inc. CurrentSince May 1, 2021 Accepting new patients
Tift Regional Health System Inc Internal Medicine CurrentSince Dec 30, 2016 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Nov 11, 2020 Accepting new patients
Tift Regional Health System Inc CurrentSince Dec 30, 2016 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients

Locations

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1194167262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 ALAMEDA ST",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785892307",
            "telephone_number": "956-369-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PEASE ST",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508307",
            "telephone_number": "956-389-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLESCAS",
        "first_name": "BERNARDINO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01081600A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01081600A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10045904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.