Active NPI
Bernardo Behrens, OD
- Optometrist
- Ft Worth, TX
National Provider Identifier
1205953023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 432
- Practice address
- 1880 Carswell Avenue
Ft Worth, TX 76127 - Phone
- (505) 313-6506
- NPI assigned
- Mar 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 006502 | NY | |
| Optometrist | 152W00000X | 6007T | TX | |
| Optometrist | 152W00000X | 432 | NM | Primary |
Addresses
Primary practice location
1880 Carswell Avenue
Ft Worth, TX 76127
Mailing address
2221 E Bijou St Ste 100
Colorado Springs, CO 80909-8009
Phone (719) 576-1850
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170420701 | Medicaid | TX | |
| 000Q4763 | Medicaid | NM |
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6007T | TX | MD | Optometrist |
| 432 | NM | MD | Peer Specialist |
| 6007 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brownwood Optometrists, P.C. | Optometrist | Current | Accepting new patients |
| Hero Vision of Albuquerque LLC | Optometrist | Past | Accepting new patients |
| Hero Dental of Albuquerque PC | Past | Accepting new patients |
Locations
310 Early Blvd
Early, TX 76802
Phone (325) 643-1826
Organizations & group practices 3
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.
-
- Optometrist
- Early, TX
- NPI 1063596849
-
- General Practice Dentistry
- Albuquerque, NM
- NPI 1871881623
-
- Optometrist
- Albuquerque, NM
- NPI 1780954800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1205953023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 E BIJOU ST STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809098009",
"telephone_number": "719-576-1850",
"fax_number": "719-955-3470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 CARSWELL AVENUE",
"city": "FT WORTH",
"state": "TX",
"postal_code": "76127",
"telephone_number": "505-313-6506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHRENS",
"first_name": "BERNARDO",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-25",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "006502",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6007T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NM",
"license": "432",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170420701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000Q4763",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ft Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.