Active NPI
Rachel Ash Bernal, MD
- Hospitalist Physician
- Myrtle Beach, SC
National Provider Identifier
1851317093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 48847
- Practice address
- 809 82ND Pkwy
Myrtle Beach, SC 29572 - Phone
- (843) 692-1000
- NPI assigned
- Jul 14, 2006
- Last updated
- Aug 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2004006976 | MO | |
| Internal Medicine Physician | 207R00000X | 2004006976 | MO | |
| Internal Medicine Physician | 207R00000X | 2009-01377 | NC | |
| Internal Medicine Physician | 207R00000X | 36754 | SC | |
| Hospitalist Physician | 208M00000X | 36754 | SC | |
| Hospitalist Physician | 208M00000X | 48847 | KY | Primary |
Addresses
Primary practice location
809 82ND Pkwy
Myrtle Beach, SC 29572
Mailing address
1 Independence PT Ste 212
Greenville, SC 29615-4536
Phone (864) 797-6174
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851317093 | Medicaid | MO | |
| 208409805 | Medicaid | MO | |
| 367542 | Medicaid | SC | |
| 5913769 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36754 | SC | MD | Pharmacist |
| 2004006976 | MO | MD | Emergency Medicine Physician |
| 48847 | KY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Carolina Cardiology | Past | Accepting new patients | |
| Alii Health Center | Past | Accepting new patients | |
| Metro Heart Group of St. Louis, Inc. | Past | Accepting new patients | |
| Palmetto Health | Past | Accepting new patients |
Interoperability endpoints
- rachel.ash-bernal.1@8478.direct.athenahealth.com
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1851317093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT STE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154536",
"telephone_number": "864-797-6174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 82ND PKWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "29572",
"telephone_number": "843-692-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASH BERNAL",
"first_name": "RACHEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2004006976",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2004006976",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2009-01377",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "36754",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "SC",
"license": "36754",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KY",
"license": "48847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851317093",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208409805",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "367542",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5913769",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.