Organization Active NPI

Romulo Bernal

  • Family Medicine Physician
  • Cape Coral, FL
National Provider Identifier
1861881997
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME33340 Issued in FL
Legal business name
ROMULO BERNAL
Practice address
3925 Del Prado Blvd S
Cape Coral, FL 33904-7130
Phone
(239) 549-1633
Fax
(239) 549-0296
NPI assigned
Jan 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Romulo A Bernal, MDNPI 1578673653
Title
Owner / Physician
Phone
(239) 549-1633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME33340 FL Primary

Addresses

Primary practice location

3925 Del Prado Blvd S
Cape Coral, FL 33904-7130

Mailing address

3925 Del Prado Blvd S
Cape Coral, FL 33904-7130
Phone (239) 549-1633

National Provider Directory

National Provider Directory

Locations

3925 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 549-1163

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1861881997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047130",
            "telephone_number": "239-549-1633",
            "fax_number": "239-549-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047130",
            "telephone_number": "239-549-1633",
            "fax_number": "239-549-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMULO BERNAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "BERNAL",
        "authorized_official_first_name": "ROMULO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "239-549-1633",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME33340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.