Individual provider Active NPI

Bernard C Hillyer, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Valley, NE
National Provider Identifier
1992723886
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
21349 Issued in NE
Practice address
51 Ginger Woods Rd
Valley, NE 68064-9404
Phone
(402) 639-6660
Fax
(402) 359-2852
NPI assigned
Jul 18, 2006
Last updated
Aug 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 21349 NE Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 19980 IA

Addresses

Primary practice location

51 Ginger Woods Rd
Valley, NE 68064-9404

Mailing address

51 Ginger Woods Rd
Valley, NE 68064-9404
Phone (402) 639-6660

Other identifiers 1

IdentifierTypeStateIssuer
7122424MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040315001007 NE Practitioner - General Practice 3971402983

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Nurse Health Services Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1992723886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 GINGER WOODS RD",
            "city": "VALLEY",
            "state": "NE",
            "postal_code": "680649404",
            "telephone_number": "402-639-6660",
            "fax_number": "402-359-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 GINGER WOODS RD",
            "city": "VALLEY",
            "state": "NE",
            "postal_code": "680649404",
            "telephone_number": "402-639-6660",
            "fax_number": "402-359-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLYER",
        "first_name": "BERNARD",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NE",
            "license": "21349",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IA",
            "license": "19980",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7122424",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley, NE

Sources for this page

Verify at the official NPI Registry.