Bernardo Andre Medina, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2152874 Issued in TX

Practice address

2204 Pease St
Harlingen, TX 78550-8308

Phone

(956) 425-2812

NPI assigned

Sep 30, 2021

Last updated

Sep 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1659043453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 E VINSON AVE APT 5202",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785504044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 PEASE ST",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508308",
            "telephone_number": "956-425-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "BERNARDO",
        "middle_name": "ANDRE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2152874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medic Home Care, Incorporated
• Medical & Psychiatric Associates of South Texas, PLLC
• Medical Clinic Management Inc. (Action Physical Therapy)
• Mediforce, LLC
• Mediforce, LLC
• Esteban Medina, PHARMD
• Juan Carlos Medina
• Marcus Anthony Medrano Sr., PA-C
• Zorayma Miozki Medrano, LVN
• Monique Melendez-Garcia, SLP

• Physical Therapy Assistant in Harlingen, TX
• Providers in Harlingen, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.