Bernardo Trujillo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9287894 Issued in FL

Practice address

12967 US Highway 301 S
Riverview, FL 33578-7647

Phone

(813) 443-6369

Fax

(813) 280-2584

NPI assigned

Sep 15, 2016

Sex

Male

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Internal Medicine Care, PAGroup PAC ID 2466504386, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles (4 of 6)

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Advanced Internal Medicine Care, PA

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1811130339

  FL

  Medicare reassignment Care Compare group NPD
• Best Value Healthcare LLC

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1790152015

  FL

  Medicare reassignment NPD
• Best Value Healthcare LLC

  • Internal Medicine Physician
  • North Fort Myers, FL
  • NPI 1619542446
  NPD (past)
• Healthflo Medical Clinics Inc

  • Rural Health Clinic/Center
  • Ridge Manor, FL
  • NPI 1164568275
  NPD (past)

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1780132001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12967 US HIGHWAY 301 S",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335787647",
            "telephone_number": "813-443-6369",
            "fax_number": "813-280-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12967 US HIGHWAY 301 S",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335787647",
            "telephone_number": "813-443-6369",
            "fax_number": "813-280-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "BERNARDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-15",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9287894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trnity Fields Inc
• Amanda Trotman, LMT
• Alexei Trout, D.O.
• Tiffany Tityana Trueba
• Truecandor Behavioral Health, LLC
• Huy Richard Cong Truong, DDS
• Leah Marie Truong
• Truth Care Service LLC
• Tatiana Furci Tuccinardi, DMD
• Jordyn Tuck, PT

• All providers in Riverview, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.