Individual provider Active NPI

Eileen Marie Bernal, MD

  • Surgical Critical Care Physician
  • Miami, FL
National Provider Identifier
1245556869
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
ME127712 Issued in FL
Practice address
11760 SW 40TH St
Suite 722
Miami, FL 33175-3582
Phone
(305) 559-1883
Fax
(305) 559-1887
NPI assigned
Apr 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X ME127712 FL Primary

Addresses

Primary practice location

11760 SW 40TH St
Suite 722
Miami, FL 33175-3582

Mailing address

11760 SW 40TH St
Suite 722
Miami, FL 33175-3582
Phone (305) 559-1883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, TX, LA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20161018002937 FL Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 8729376124 Reassigns benefits to 6 organizations
I20210413000540 GA Practitioner - Critical Care (Intensivists)Practitioner - Other (Physician) 8729376124 Reassigns benefits to 1 organization
I20211102003191 TX Practitioner - General Surgery 8729376124 Reassigns benefits to 1 organization
I20220723000187 LA Practitioner - General Surgery 8729376124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: General Surgery
Education
University of Miami, LM Miller School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Critical Care Services LLCGroup PAC ID 2466714241, 151 clinicians

Practice addresses (Care Compare)

5000 University Dr
Miami, FL 33146-2008
Phone (305) 928-7249

6200 SW 73 St
South Miami, FL 33143-4679
Phone (305) 661-9404

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (305) 661-9404

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME127712FLMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coffee Regional Medical Center, Inc Current Accepting new patients
South Florida Critical Care Services LLC CurrentSince Oct 1, 2020 Accepting new patients
University Medical Center Management Corporation CurrentSince Jul 21, 2022 Accepting new patients
Coffee Regional Medical Center, Inc CurrentSince Mar 1, 2021 Accepting new patients
University Medical Center Management Corporation CurrentSince Jul 21, 2022 Accepting new patients
Proctor Health Systems CurrentSince Jun 29, 2022 Accepting new patients
Coffee Regional Medical Center, Inc CurrentSince Mar 1, 2021 Accepting new patients
Trinity Medical Center CurrentSince Feb 22, 2022 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Feb 15, 2022 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Feb 15, 2022 Accepting new patients
Hamilton County Hospital District CurrentSince Aug 1, 2021 Accepting new patients
Pekin Prohealth Inc CurrentSince Feb 17, 2022 Accepting new patients
Proctor Health Systems CurrentSince Jun 29, 2022 Accepting new patients
Hamilton County Hospital District CurrentSince Aug 1, 2021 Accepting new patients
Trinity Regional Medical Center CurrentSince Feb 11, 2022 Accepting new patients

Locations

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

8370 W Flagler St
Ste 226
Miami, FL 33144
Phone (305) 917-5414

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

400 N Brown St
Hamilton, TX 76531
Phone (254) 386-1600

400 N Brown St
Bldg 1
Hamilton, TX 76531
Phone (254) 386-1600

Organizations & group practices 15

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.

View all 15

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": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1245556869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "SUITE 722",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-559-1883",
            "fax_number": "305-559-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "SUITE 722",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-559-1883",
            "fax_number": "305-559-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNAL",
        "first_name": "EILEEN",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "FL",
            "license": "ME127712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.