Active NPI
Ofelia Madrid Bernabe, M.D.
- Internal Medicine Physician
- Lakewood Ranch, FL
National Provider Identifier
1629338918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 33055
- Practice address
- 7066 Twin Hills Ter
Lakewood Ranch, FL 34202-2401 - Phone
- (941) 907-8294
- Fax
- (941) 907-8284
- NPI assigned
- May 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 33055 | MO | Primary |
Addresses
Primary practice location
7066 Twin Hills Ter
Lakewood Ranch, FL 34202-2401
Mailing address
7066 Twin Hills Ter
Lakewood Ranch, FL 34202-2401
Phone (941) 907-8294
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33055 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of St Louis Division of Fiscal Management | Past | Accepting new patients |
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.
-
dba John C. Murphy Health Center
- Federally Qualified Health Center (FQHC)
- Berkeley, MO
- NPI 1184519506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337558400000",
"number": "1629338918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7066 TWIN HILLS TER",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342022401",
"telephone_number": "941-907-8294",
"fax_number": "941-907-8284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7066 TWIN HILLS TER",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342022401",
"telephone_number": "941-907-8294",
"fax_number": "941-907-8284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNABE",
"first_name": "OFELIA",
"middle_name": "MADRID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-21",
"last_updated": "2012-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "33055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood Ranch, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.