Active NPI
Bernard R Quebral, MD
- Internal Medicine Physician
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 37909
- Practice address
- 8450 Seasons Pkwy
Woodbury, MN 55125-4402 - Phone
- (651) 702-5300
- Fax
- (651) 702-5305
- NPI assigned
- Jan 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 37909 | MN | Primary |
Addresses
Primary practice location
8450 Seasons Pkwy
Woodbury, MN 55125-4402
Mailing address
8450 Seasons Pkwy
Woodbury, MN 55125-4402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300025700 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11475 Robinson Dr NW
Coon Rapids, MN 55433-3746
Phone (763) 754-0041
14701 Victor Hugo Blvd N
Hugo, MN 55038-4561
Phone (651) 767-1900
15350 English Ave
Apple Valley, MN 55124-6252
Phone (952) 431-8500
1654 Diffley Rd
Suite 100
Eagan, MN 55122-2237
Phone (651) 641-3900
205 Wabasha Ave S
Saint Paul, MN 55107-1805
233 Radio Dr
Woodbury, MN 55125-5805
Phone (952) 967-7616
2500 Como Ave
Saint Paul, MN 55108-1460
Phone (651) 641-0020
401 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-7400
435 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 291-2848
576 Apollo Dr
Lino Lakes, MN 55014-3004
Phone (651) 784-1611
8325 Seasons Pkwy
Woodbury, MN 55125-4402
Phone (651) 702-5868
8450 Seasons Pkwy
Woodbury, MN 55125-4402
Phone (651) 702-5300
8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148
Hospital & facility affiliations
- Centerwell Home Health
- Regions Hospital
- Lakeview Memorial Hospital
- Hudson Hospital
- Park Nicollet Methodist Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37909 | MN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients |
Locations
1650 Beam Ave
Maplewood, MN 55109
Phone (651) 221-9051
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
8170 33rd Ave S
Minneapolis, MN 55425
Phone (952) 883-5463
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
8450 Seasons Pkwy
Woodbury, MN 55125
Phone (651) 702-5300
Interoperability endpoints
- bquebral21962@direct.healthpartners.com
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
- Family Medicine Physician
- Stillwater, MN
- NPI 1245608454
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn Park, MN
- NPI 1194757468
-
- General Acute Care Hospital
- Stillwater, MN
- NPI 1538138003
-
- General Acute Care Hospital
- Maple Grove, MN
- NPI 1174980692
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1194113217
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1245615772
-
- Mental Illness Community Based Residential Treatment Facility
- St Louis Park, MN
- NPI 1578717336
Hospital
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1649220724
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1942585286
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1104681105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1235100892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8450 SEASONS PKWY",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8450 SEASONS PKWY",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254402",
"telephone_number": "651-702-5300",
"fax_number": "651-702-5305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEBRAL",
"first_name": "BERNARD",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-31",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "37909",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300025700",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.