NPIMap

Individual provider Active NPI

Juan Enrique Berner Gomez, MD

  • Plastic and Reconstructive Surgery Physician
  • San Antonio, TX
National Provider Identifier
1740016807
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
48335 Issued in TX
Practice address
4306 De Zavala Rd
San Antonio, TX 78249-4590
Phone
(210) 450-9000
Fax
(210) 450-4824
NPI assigned
Sep 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X 48335 TX
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 48335 TX
Plastic Surgery Physician 208200000X 48335 TX
Plastic and Reconstructive Surgery Physician 2086S0122X 48335 TX Primary

Addresses

Primary practice location

4306 De Zavala Rd
San Antonio, TX 78249-4590

Mailing address

4306 De Zavala Rd
San Antonio, TX 78249-4590
Phone (210) 450-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028001785 TX Practitioner - Plastic and Reconstructive Surgery 7012440167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Texas Health Science Center at San Antonio 1,290 clinicians

Practice addresses (Care Compare)

4306 De Zavala Rd
BLDG 1
San Antonio, TX 78249-4590
Phone (210) 450-6720

Hospital & facility affiliations

  • University Health System Hospital, San Antonio, TX, CCN 450213
  • Ut Health San Antonio Multispecialty & Research Ho Hospital, San Antonio, TX, CCN 670335

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision11
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at San Antonio CurrentSince Sep 1, 2024 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Sep 1, 2024 Accepting new patients
University of Texas Health Science Center at San Antonio Past Accepting new patients

Locations

7979 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 450-1000

4306 De Zavala Rd
San Antonio, TX 78249
Phone (210) 450-6720

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

8300 Floyd Curl Dr
Fl 4A
San Antonio, TX 78229
Phone (210) 450-9888

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

4306 De Zavala Rd
Bldg 1
San Antonio, TX 78249
Phone (210) 450-6720

14530 NW Military Hwy
Shavano Park, TX 78231
Phone (210) 450-6220

Interoperability endpoints

  • Direct secure messaging: jbernergomez60397@direct.utmsa.com

Organizations & group practices 8

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": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1740016807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 DE ZAVALA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494590",
            "telephone_number": "210-450-9000",
            "fax_number": "210-450-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 DE ZAVALA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494590",
            "telephone_number": "210-450-9000",
            "fax_number": "210-450-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNER GOMEZ",
        "first_name": "JUAN",
        "middle_name": "ENRIQUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "TX",
            "license": "48335",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "48335",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "48335",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "48335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.