Active NPI
Kerry L Bernal, MD
- Anatomic Pathology & Clinical Pathology Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 22365
- Practice address
- 8901 Indian Hills Dr
Ste 200
Omaha, NE 68114-4029 - Phone
- (402) 397-7057
- NPI assigned
- Apr 28, 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 22365 | NE | Primary |
Addresses
Primary practice location
8901 Indian Hills Dr
Ste 200
Omaha, NE 68114-4029
Mailing address
8901 Indian Hills Dr
Ste 200
Omaha, NE 68114-4029
Phone (402) 397-7057
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47077295213 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- 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
- Pathology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4545 R St
Suite 100
Lincoln, NE 68503-3799
Phone (402) 465-4545
8901 Indian Hills Dr
Suite 200
Omaha, NE 68114-4032
Phone (402) 397-7057
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22365 | NE | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Specialties, P.C. | Current | Accepting new patients | |
| Midwest Gastrointestinal Associates PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Lincoln Digestive Health Center LLC | Past | Accepting new patients |
Locations
4545 R St
Lincoln, NE 68503
Phone (402) 465-4545
4545 R St
Ste 100
Lincoln, NE 68503
Phone (402) 465-4545
17001 Lakeside Hills Plz
Ste 200
Omaha, NE 68130
Phone (402) 885-8700
8901 Indian Hills Dr
Ste 200
Omaha, NE 68114
Phone (402) 397-7057
Interoperability endpoints
- https://498f20c3-8d5e-4c38-b37b-2e5c29e690f9.gastro.prod.fhir.ema-api.com/fhir/r4/
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.
-
- Specialist
- Lincoln, NE
- NPI 1083747380
-
- Gastroenterology Physician
- Omaha, NE
- NPI 1073569125
Anatomic Pathology & Clinical Pathology
-
- Ambulatory Surgical Clinic/Center
- Lincoln, NE
- NPI 1548710775
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341792000000",
"number": "1457318883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 INDIAN HILLS DR",
"address_2": "STE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144029",
"telephone_number": "402-397-7057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 INDIAN HILLS DR",
"address_2": "STE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144029",
"telephone_number": "402-397-7057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNAL",
"first_name": "KERRY",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-28",
"last_updated": "2012-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NE",
"license": "22365",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47077295213",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.