Active NPI
Amparo Bernal, MD
- Internal Medicine Physician
- Dallas, TX
National Provider Identifier
1447318522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J7431
- Practice address
- 7777 Forest LN
Suite B-122
Dallas, TX 75230-2571 - Phone
- (972) 383-1060
- Fax
- (972) 383-1061
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- 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 | J7431 | TX | Primary |
Addresses
Primary practice location
7777 Forest LN
Suite B-122
Dallas, TX 75230-2571
Mailing address
8390 Championsgate Blvd
Suite 215
Championsgate, FL 33896
Phone (407) 390-1677
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139126006 | Medicaid | TX | |
| 139126014 | Medicaid | TX | |
| 139126017 | Medicaid | TX | |
| 139126012 | Medicaid | TX | |
| 139126002 | Medicaid | TX | |
| 139126007 | Medicaid | TX | |
| 139126005 | Medicaid | TX | |
| 139126001 | Medicaid | TX | |
| 139126004 | Medicaid | TX | |
| 139126008 | Medicaid | TX | |
| 139126003 | Medicaid | TX | |
| 87W586 | Other | TX | BCBS |
| 139126016 | Medicaid | TX | |
| 139126009 | Medicaid | TX | |
| 139126011 | Medicaid | TX | |
| 139126013 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1447318522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8390 CHAMPIONSGATE BLVD",
"address_2": "SUITE 215",
"city": "CHAMPIONSGATE",
"state": "FL",
"postal_code": "33896",
"telephone_number": "407-390-1677",
"fax_number": "407-390-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"address_2": "SUITE B-122",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302571",
"telephone_number": "972-383-1060",
"fax_number": "972-383-1061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNAL",
"first_name": "AMPARO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J7431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139126006",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139126014",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139126017",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139126012",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139126002",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139126007",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139126005",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139126001",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139126004",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139126008",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139126003",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "87W586",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139126016",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139126009",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139126011",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139126013",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.