Individual provider Active NPI

Guillermo Jose Bernal, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Newtown, PA
National Provider Identifier
1912904137
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD045552E Issued in PA
Practice address
104 Pheasant Run Ste 105
Newtown, PA 18940-3439
Phone
(215) 741-3141
Fax
(215) 741-3143
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD045552E PA Primary

Addresses

Primary practice location

104 Pheasant Run Ste 105
Newtown, PA 18940-3439

Mailing address

613 E Melissa Cir
Yardley, PA 19067-4482
Phone (215) 499-6052

Other identifiers 9

IdentifierTypeStateIssuer
250004597OtherMEDICARE RAILROAD
618804OtherINDEPENDENCE BLUE CROSS
BE618804OtherHIGHMARK BLUE SHIELD
BUS107OtherOXFORD
PO28471OtherCHAMPUS/TRICARE
0447984000OtherINDEPENDENCE BLUE CROSS
23191OtherAETNA HMO
269999OtherMAMSI
4272117OtherAETNA NON HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100914000130 PA Practitioner - Physical Medicine and Rehabilitation 2062447493 Reassigns benefits to 1 organization
I20230204000007 NJ Practitioner - Physical Medicine and Rehabilitation 2062447493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DB Internal and Sports Medicine LLC 8 clinicians

Practice addresses (Care Compare)

104 Pheasant Run
Suite 105
Newtown, PA 18940-3439
Phone (215) 741-3141

901 W Main St
Suite 267
Freehold, NJ 07728-2537
Phone (732) 677-3733

Hospital & facility affiliations

  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Good Shepherd Penn Partners Long-term care hospital, Philadelphia, PA, CCN 392050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
DB Internal & Sports Medicine LLC CurrentSince Jan 1, 2023 Accepting new patients
DB Internal & Sports Medicine LLC Physical Medicine & Rehabilitation CurrentSince Jan 1, 2023 Accepting new patients

Locations

190 State Route 31
Ste 300B
Flemington, NJ 08822
Phone (215) 478-6126

901 W Main St
Ste 267
Freehold, NJ 07728
Phone (732) 333-8702

558 Lawrence Square Blvd S
Lawrenceville, NJ 08648
Phone (609) 585-6100

731 Alexander Rd
Ste 200
Princeton, NJ 08540
Phone (609) 655-3800

104 Pheasant Run
Ste 105
Newtown, PA 18940
Phone (215) 968-6844

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1912904137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 E MELISSA CIR",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190674482",
            "telephone_number": "215-499-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PHEASANT RUN STE 105",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403439",
            "telephone_number": "215-741-3141",
            "fax_number": "215-741-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNAL",
        "first_name": "GUILLERMO",
        "middle_name": "JOSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD045552E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "250004597",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "618804",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "BE618804",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "BUS107",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS/TRICARE",
            "identifier": "PO28471",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0447984000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "23191",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "269999",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO",
            "identifier": "4272117",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

Verify at the official NPI Registry.