NPIMap

Organization Active NPI

Bernal Pediatric Clinic

  • Pediatrics Physician
  • McAllen, TX
National Provider Identifier
1437318581
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K3096 Issued in TX
Legal business name
BERNAL PEDIATRIC CLINIC
Practice address
801 E Nolana Ave
Suite 11
McAllen, TX 78504-6104
Phone
(956) 630-4669
Fax
(956) 668-7139
NPI assigned
Jun 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Jaime E Bernal, MDNPI 1629014683
Title
Owner
Phone
(956) 630-4669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X K3096 TX Primary

Addresses

Primary practice location

801 E Nolana Ave
Suite 11
McAllen, TX 78504-6104

Mailing address

801 E Nolana Ave
Suite 11
McAllen, TX 78504-6104
Phone (956) 630-4669

Other identifiers 5

IdentifierTypeStateIssuer
K3096OtherTXLICENSE NO.
0059DFOtherTXBLUE CROSS BLUE SHIELD PROV NO.
164872701MedicaidTX
164872702MedicaidTX
G04053OtherTXUPIN

National Provider Directory

National Provider Directory
Tax ID family
Bernal Pediatric Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

801 E Nolana Ave
Ste 11
McAllen, TX 78504
Phone (956) 630-4669

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1437318581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E NOLANA AVE",
            "address_2": "SUITE 11",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046104",
            "telephone_number": "956-630-4669",
            "fax_number": "956-668-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E NOLANA AVE",
            "address_2": "SUITE 11",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046104",
            "telephone_number": "956-630-4669",
            "fax_number": "956-668-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNAL PEDIATRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "BERNAL",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-630-4669",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K3096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO.",
            "identifier": "K3096",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PROV NO.",
            "identifier": "0059DF",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164872701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164872702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G04053",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.