Individual provider Active NPI

Bernardo Carpio, MD

  • Family Medicine Physician
  • Pharr, TX
National Provider Identifier
1225333206
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TX PENDING Issued in TX
Practice address
807 N Cage Blvd
Pharr, TX 78577-3117
Phone
(956) 283-1889
Fax
(956) 283-7014
NPI assigned
Jan 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TX PENDING TX Primary

Addresses

Primary practice location

807 N Cage Blvd
Pharr, TX 78577-3117

Mailing address

807 N. Cage
Pharr, TX 78577
Phone (956) 283-1889

Other identifiers 4

IdentifierTypeStateIssuer
280058302OtherTXMEDICAID CSHCN
742039068OtherTXJUAN AGUILERA AND ASSOC GROUP TAX ID
N8496OtherTXMD LIC #
280058301MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110502000513 TX Practitioner - Family Practice 7315122611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Edinburg Pediatric Network LLCGroup PAC ID 2062541469, 4 clinicians

Practice addresses (Care Compare)

807 N Cage Blvd
Pharr, TX 78577-3117
Phone (956) 782-7993

Hospital & facility affiliations

  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TX PENDINGTXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edinburg Pediatric Network LLC CurrentSince Jan 24, 2011 Accepting new patients
Jonquil Pediatrics PLLC PastSince Jul 28, 2024 Accepting new patients
Optimum Pediatrics PLLC Past Accepting new patients

Locations

202 E Interstate Highway 2
Ste A
Mission, TX 78572

125 E Las Milpas Rd
Ste B
Pharr, TX 78577
Phone (956) 781-0400

807 N Cage Blvd
Pharr, TX 78577
Phone (956) 283-1889

807 N Cage Blvd
#A
Pharr, TX 78577

1627 E Main St
Rio Grande City, TX 78582
Phone (956) 716-1665

700 E Bravo Blvd
Ste A
Roma, TX 78584
Phone (956) 849-0495

2990 N Texas Blvd
Weslaco, TX 78599
Phone (956) 973-1737

Organizations & group practices 4

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 2

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": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1225333206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 N. CAGE",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "78577",
            "telephone_number": "956-283-1889",
            "fax_number": "956-283-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 N CAGE BLVD",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785773117",
            "telephone_number": "956-283-1889",
            "fax_number": "956-283-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPIO",
        "first_name": "BERNARDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-21",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "TX PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CSHCN",
            "identifier": "280058302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JUAN AGUILERA AND ASSOC GROUP TAX ID",
            "identifier": "742039068",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LIC #",
            "identifier": "N8496",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280058301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pharr, TX

Sources for this page

Verify at the official NPI Registry.