Samantha Castillo Bernal, DO
Individual provider Active NPI Obstetrics & Gynecology Physician · Eagle Pass, TX
NPI 1639600489 · NPPES record last updated Nov 16, 2023
Key facts
- NPI
- 1639600489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- T0426 (TX)
- Practice address
- 2525 N Veterans Blvd BLDG 2
Eagle Pass, TX 78852-3302 - Phone
- (830) 773-1635
- Fax
- (830) 432-6151
- NPI assigned
- Mar 23, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of North Texas HSC, College of Osteopathic Med, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- United Medical Centers
Practice addresses (Care Compare)
2525 N Veterans Blvd
Eagle Pass, TX 78852-3302
Phone (830) 773-5358
2525 N Veterans Blvd
Eagle Pass, TX 78853-3302
Hospital & facility affiliations
- Fort Duncan Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210709002856 | TX | Practitioner - Obstetrics/Gynecology | 2961804158 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0426 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Centers | Current |
Accepting new patients | |
| United Medical Centers | Obstetrics & Gynecology | Current |
Accepting new patients |
| Fort Duncan Medical Center LP | Past | Accepting new patients | |
| United Medical Centers | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
2525 N Veterans Blvd
#2
Eagle Pass, TX 78852
2525 N Veterans Blvd
Bldg 2
Eagle Pass, TX 78852
Phone (830) 773-1635
4018 El Indio Hwy
Eagle Pass, TX 78852
Phone (830) 776-8917
2525 N Veterans Blvd
Eagle Pass, TX 78852
Phone (830) 773-5358
Interoperability endpoints
- samantha.bernal.p1@direct.umchealth.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | T0426 | TX | Yes |
Addresses
Primary practice location
2525 N Veterans Blvd BLDG 2
Eagle Pass, TX 78852-3302
Mailing address
2525 N Veterans Blvd
Eagle Pass, TX 78852-3302
Phone (830) 773-8917
Other practice location 1
4018 El Indio Hwy
Eagle Pass, TX 78852-6690
Phone (830) 872-3460
Other practice location 2
3220 Buddy Owens Ave Ste 300
McAllen, TX 78504-6545
Phone (956) 627-5245
Other providers in Eagle Pass, TX
- Arturo E Batres Sr.
- Marie Diane Bazaldua
- Beacon Therapy Resource, LLC
- Jose Rafael Berlanga
- Cruz Alberto Bernal Jr.
- Romulo Alfonso Berrezueta
- Justine Marie Betzu
- Bill Alexander
- Billy Don Alexander
- Billy Don Alexander
All providers in Eagle Pass, TX · Obstetrics & Gynecology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.