Jaime E Bernal, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K3096 Issued in TX

Practice address

801 E Nolana
Ste 11
McAllen, TX 78504-6112

Phone

(956) 630-4669

Fax

(956) 668-7139

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Edinburg Pediatric Network LLC

  • General Practice Physician
  • Pharr, TX
  • NPI 1669708780
  Medicare reassignment NPD
• Bernal Pediatric Clinic

  • Pediatrics Physician
  • McAllen, TX
  • NPI 1437318581
  NPD (past) Authorized official
• Nolana Kids Clinic PLLC

  • Pediatrics Physician
  • McAllen, TX
  • NPI 1093389785
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629014683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E NOLANA",
            "address_2": "STE 11",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046112",
            "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",
            "address_2": "STE 11",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046112",
            "telephone_number": "956-630-4669",
            "fax_number": "956-668-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNAL",
        "first_name": "JAIME",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K3096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "0859DF",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "K3096",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Marie Bermejillo-Vasquez, MPAS, PA-C
• Bernal Pediatric Clinic
• Azeneth Bernal, RD, LD
• Emily Bernal
• Giovanna Bernal, LVN
• Megan Noel Berndt, PHYSICAL THERAPIST
• Juan Bernini, MD
• Mario Isaac Berrocal O'Higgins, M.D.
• Priscilla Berrones, LMSW
• Leticia Berrout

• Pediatrics Physician in McAllen, TX
• Providers in McAllen, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.