Active NPI
Jesus Gerardo Bernal, B.S., D.C.
- Chiropractor
- Rio Rico, AZ
National Provider Identifier
1750472478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6088
- Practice address
- 1115 Circulo Mercado
Rio Rico, AZ 85648-6202 - Phone
- (520) 377-2225
- Fax
- (520) 377-9200
- NPI assigned
- Sep 27, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6088 | AZ | Primary |
Addresses
Primary practice location
1115 Circulo Mercado
Rio Rico, AZ 85648-6202
Mailing address
1115 Circulo Mercado
Rio Rico, AZ 85648-6202
Phone (520) 377-2225
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rio Rico Health & Wellness Center | Chiropractor | 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": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750472478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 CIRCULO MERCADO",
"city": "RIO RICO",
"state": "AZ",
"postal_code": "856486202",
"telephone_number": "520-377-2225",
"fax_number": "520-377-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 CIRCULO MERCADO",
"city": "RIO RICO",
"state": "AZ",
"postal_code": "856486202",
"telephone_number": "520-377-2225",
"fax_number": "520-377-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNAL",
"first_name": "JESUS",
"middle_name": "GERARDO",
"name_prefix": "Dr.",
"credential": "B.S., D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "6088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Rico, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.