Individual provider Active NPI

Bernadette Nazario-Lopez, M.D., PHARM.D.

  • Neurology Physician
  • Altamonte Springs, FL
National Provider Identifier
1659688018
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME125799 Issued in FL
Practice address
249 Maitland Ave Ste 3100
Altamonte Springs, FL 32701-4906
Phone
(407) 960-1067
Fax
(407) 960-1076
NPI assigned
Sep 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5083 PR
Neurology Physician 2084N0400X 18458 PR
Neurology Physician 2084N0400X ME125799 FL Primary

Addresses

Primary practice location

249 Maitland Ave Ste 3100
Altamonte Springs, FL 32701-4906

Mailing address

PO Box 940065
Maitland, FL 32794-0065
Phone (407) 960-1067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140729002720 PR Practitioner - Neurology 2264658129 Reassigns benefits to 1 organization
Practice locations: Manati, PR
I20160122001451 FL Practitioner - Neurology 2264658129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501

249 Maitland Ave
Suite 3100
Altamonte Springs, FL 32701-4906
Phone (407) 960-1067

249 Maitland Ave
Suite 3100
Altamonte Springs, FL 32701-4926
Phone (407) 960-1067

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5083PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Migraine and Headache Center of Florida, LLC Neurology CurrentSince Dec 16, 2024 Accepting new patients
Doctors Center Hospital Inc CurrentSince Aug 21, 2015 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Sep 24, 2025 Accepting new patients

Locations

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAHGDD/Endpoint/CAHGDD

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1659688018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940065",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327940065",
            "telephone_number": "407-960-1067",
            "fax_number": "407-960-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 MAITLAND AVE STE 3100",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014906",
            "telephone_number": "407-960-1067",
            "fax_number": "407-960-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIO-LOPEZ",
        "first_name": "BERNADETTE",
        "credential": "M.D., PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "5083",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "18458",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME125799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.