Active NPI
Hernando Bernal, M.D.
- Pulmonary Disease Physician
- Tampa, FL
National Provider Identifier
1356430698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 0022045
- Practice address
- 13801 Bruce B Downs Blvd
Suite 204
Tampa, FL 33613-3946 - Phone
- (813) 971-3564
- Fax
- (813) 971-4776
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 0022045 | FL | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 0022045 | FL |
Addresses
Primary practice location
13801 Bruce B Downs Blvd
Suite 204
Tampa, FL 33613-3946
Mailing address
PO Box 271308
Tampa, FL 33688-1308
Phone (813) 971-3564
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054738700 | Medicaid | FL | |
| 0022045 | Other | FL | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0022045 | FL | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary and Sleep Specialists of Tampa Bay, PA | Pulmonary Disease | Current | Accepting new patients |
Locations
14523 Bruce B Downs Blvd
Ste 401
Tampa, FL 33613
Phone (813) 975-4300
13801 Bruce B Downs Blvd
Ste 204
Tampa, FL 33613
Phone (813) 615-1261
Organizations & group practices 1
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Tampa, FL
- NPI 1972711356
Pulmonary Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296172800000",
"number": "1356430698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 271308",
"city": "TAMPA",
"state": "FL",
"postal_code": "336881308",
"telephone_number": "813-971-3564",
"fax_number": "813-971-4776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13801 BRUCE B DOWNS BLVD",
"address_2": "SUITE 204",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133946",
"telephone_number": "813-971-3564",
"fax_number": "813-971-4776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNAL",
"first_name": "HERNANDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2011-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "0022045",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "FL",
"license": "0022045",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "054738700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "0022045",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.