Individual provider Active NPI

Edwardo Bernal, FNP-BC

  • Family Nurse Practitioner
  • Elsa, TX
National Provider Identifier
1841733862
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132645 Issued in TX
Practice address
410 S. Broadway
Elsa, TX 78543
Phone
(956) 262-9805
NPI assigned
Nov 22, 2016
Last updated
Nov 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP132645 TX Primary

Addresses

Primary practice location

410 S. Broadway
Elsa, TX 78543

Mailing address

1401 E Ridge Rd
Ste C
McAllen, TX 78503-1525
Phone (956) 317-4043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20201102000029 TX Practitioner - Nurse Practitioner 4789905936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Care Institute of Texas, PLLCGroup PAC ID 3971914235, 8 clinicians

Practice addresses (Care Compare)

2101 S M St
Suite a
McAllen, TX 78503-1590
Phone (956) 317-4043

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Institute of Texas, PLLC CurrentSince Oct 21, 2020 Accepting new patients
Edinburg Pediatric Network LLC CurrentSince Apr 6, 2023 Accepting new patients
McAllen Pediatric Clinic PastSince Apr 6, 2023 Accepting new patients

Locations

4302 S Sugar Rd
Ste 101
Edinburg, TX 78539
Phone (956) 388-2700

1401 E Ridge Rd
Ste C
McAllen, TX 78503
Phone (956) 317-4043

2101 S M St
Ste A
McAllen, TX 78503
Phone (956) 317-4043

2201 S 23rd St
McAllen, TX 78503
Phone (956) 585-1638

900 Plaza Dr
Ste 5
Mission, TX 78572
Phone (956) 317-4044

807 N Cage Blvd
Pharr, TX 78577
Phone (956) 283-1889

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1841733862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E RIDGE RD",
            "address_2": "STE C",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031525",
            "telephone_number": "956-317-4043",
            "fax_number": "956-800-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S. BROADWAY",
            "city": "ELSA",
            "state": "TX",
            "postal_code": "78543",
            "telephone_number": "956-262-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNAL",
        "first_name": "EDWARDO",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-22",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elsa, TX

Sources for this page

Verify at the official NPI Registry.