Individual provider Active NPI

Samantha Castillo Bernal, DO

  • Obstetrics & Gynecology Physician
  • Eagle Pass, TX
National Provider Identifier
1639600489
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
T0426 Issued in 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
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X T0426 TX Primary

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

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210709002856 TX Practitioner - Obstetrics/Gynecology 2961804158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 CentersGroup PAC ID 7618957135, 23 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
T0426TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Centers CurrentSince Jul 18, 2023 Accepting new patients
United Medical Centers Obstetrics & Gynecology CurrentSince Jul 18, 2023 Accepting new patients
United Medical Centers Obstetrics & Gynecology Past Accepting new patients
Fort Duncan Medical Center LP Past Accepting new patients

Locations

2525 N Veterans Blvd
Eagle Pass, TX 78852
Phone (830) 773-5358

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

Interoperability endpoints

  • Direct secure messaging: samantha.bernal.p1@direct.umchealth.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1639600489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 N VETERANS BLVD",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788523302",
            "telephone_number": "830-773-8917",
            "fax_number": "830-773-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N VETERANS BLVD BLDG 2",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788523302",
            "telephone_number": "830-773-1635",
            "fax_number": "830-432-6151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4018 El Indio Hwy",
            "address_purpose": "LOCATION",
            "city": "Eagle Pass",
            "state": "TX",
            "postal_code": "788526690",
            "country_code": "US",
            "telephone_number": "830-872-3460",
            "fax_number": "830-872-3470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3220 Buddy Owens Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785046545",
            "country_code": "US",
            "telephone_number": "956-627-5245",
            "fax_number": "956-627-5246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNAL",
        "first_name": "SAMANTHA",
        "middle_name": "CASTILLO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "T0426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

Verify at the official NPI Registry.