Active NPI
Guillermo David Bernal, RN
- Registered Nurse
- Houston, TX
National Provider Identifier
1720567571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 794074
- Practice address
- 1011 Highway 6 S Ste 311
Houston, TX 77077-1040 - Phone
- (713) 575-2000
- Fax
- (713) 575-2031
- NPI assigned
- Aug 13, 2018
- Last updated
- Aug 13, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 794074 | TX | Primary |
Addresses
Primary practice location
1011 Highway 6 S Ste 311
Houston, TX 77077-1040
Mailing address
20002 Fort Dodge Dr
Katy, TX 77449-3312
Phone (832) 494-8720
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 794074 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic Health Services, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1720567571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20002 FORT DODGE DR",
"city": "KATY",
"state": "TX",
"postal_code": "774493312",
"telephone_number": "832-494-8720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 HIGHWAY 6 S STE 311",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770771040",
"telephone_number": "713-575-2000",
"fax_number": "713-575-2031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNAL",
"first_name": "GUILLERMO",
"middle_name": "DAVID",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-13",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "794074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.