KENNETH R BERNAL (NPI# 1023087434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023087434 |
| Entity Type | Individual |
| Full Name | KENNETH R BERNAL |
| Credential | DO |
| Practice Address |
2265 N Lakeshore Dr Ste 101 Rockwall TX 75087-3210 |
| Practice Telephone | 9727712500 |
| Practice Fax Number | 9727224550 |
| Mailing Telephone | 9727712500 |
| Mailing Fax Number | 9727224550 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2019-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | H2245 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1213379507 | 05 | |
| TX | 121379505 | 05 | |
| TX | 121379506 | 05 |
| Street Address |
2265 N LAKESHORE DR STE 101 |
| City | ROCKWALL |
| State | TX |
| Zip Code | 75087-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982243663 | Cryselda Trevino | Physician Assistant | 2265 N Lakeshore Dr Ste 101, Rockwall, TX 75087-3210 | 2019-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452309 | Schweers Dental Pllc | Clinic/Center | 3005 N Goliad St., Suite 110, Rockwall, TX 75087 | 2020-03-19 |
| 1467091611 | Elsa Varughese | Nurse Practitioner | 414 Garrett Dr, Rockwall, TX 75087 | 2020-01-04 |
| 1578105391 | Jaya Raji Mathai | Psychiatry & Neurology | 2249 Ridge Rd., Rockwall, TX 75087 | 2019-10-14 |
| 1104326784 | Eunice B Ontita | Nurse Practitioner | 601 White Hills Dr., Suite 100, Rockwall, TX 75087 | 2018-02-20 |
| 1053811885 | Emelda Fehnyui Ndinjiakat | Licensed Vocational Nurse | 610 Louder Way, Fate, TEXAS 75087 | 2018-02-19 |
| 1588163885 | January Lauren Green | Nurse Practitioner | 6800 Heritage Parkway, Suite 201, Rockwall, TX 75087 | 2018-02-02 |
| 1093268328 | Anouk Family Chiropractic, Pllc | Chiropractor | 2555 Ridge Rd #150, Rockwall, TX 75087 | 2016-08-03 |
| 1962858134 | Katherine L. Crane | Counselor | 302 W. Kaufman St., Rockwall, TX 75087 | 2016-05-06 |
| 1669841102 | Richard Carroll Smith | Obstetrics & Gynecology | 2120 Clubview, Rockwall, TX 75087 | 2015-09-15 |
| 1033598032 | Michelle Knight | Massage Therapist | 767 Justin Rd, Rockwall, TX 75087 | 2015-05-22 |
| Find all providers in zip 75087 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609405505 | Gregory Scott Ward | Family Medicine | 2306 Ridge Rd Ste 2, Rockwall, TX 75087-5140 | 2020-04-03 |
| 1417368028 | Minhtu Adle | Family Medicine | 1975 Alpha Dr Ste 204, Rockwall, TX 75087-4951 | 2014-05-16 |
| 1104237346 | Thoa Nguyen | Family Medicine | 600 Horizon Rd, Rockwall, TX 75032-5454 | 2014-05-09 |
| 1366797433 | Dhara Amit Patel | Family Medicine | 2265 N Lakeshore Dr, Rockwall, TX 75087-3210 | 2012-07-16 |
| 1932407715 | Rockwall Independent School District | Family Medicine | 1193 T L Townsend Dr, Rockwall, TX 75087-4918 | 2011-03-03 |
| 1841214467 | Sparks Clinic Pa | Family Medicine | 103 N 1st Street, Rockwall, TX 75087-3033 | 2006-07-27 |
| 1265450118 | Nicole S Conselman | Family Medicine | 1975 Alpha Dr, Suite 204, Rockwall, TX 75087-4951 | 2006-07-18 |
| 1235188194 | Rockwall County Helping Hands, Inc. | Family Medicine | 102 S First St, Ste B, Rockwall, TX 75087-3650 | 2006-05-09 |
| 1083663074 | Rana S Pascoe | Family Medicine | 890 Rockwall Pkwy Ste 100, Rockwall, TX 75032-6871 | 2006-05-08 |
| 1255389789 | Lindsey L Foote | Family Medicine | 2701 Sunset Ridge Dr Ste 200, Rockwall, TX 75032-0007 | 2006-05-05 |
| Find all providers in ROCKWALL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.