JUAN MARIO BERNAL M.D.
NPI 1003007980
Internal Medicine - Interventional Cardiology in Birmingham, AL

Active since August 06, 2007PECOS EnrolledAccepts Medicare Assignment
87.47/100
CMS Quality Rating
3680 GRANDVIEW PKWY STE 200, BIRMINGHAM, AL 35243(205) 971-7500(205) 971-7571 Get Directions Write a Review

NPPES record last updated: August 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 10, 2025, Feb 7, 2024, Feb 11, 2016 (3 updates tracked since 2016).

About Juan Mario Bernal M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN MARIO BERNAL M.D. (NPI 1003007980) is an individual interventional cardiology provider in Birmingham, Alabama, licensed in Alabama (29596) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sylacauga, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1003007980
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameJUAN MARIO BERNALCredential: M.D.
Location Address3680 GRANDVIEW PKWY STE 200Birmingham, AL 35243-3411
Mailing Address3680 Grandview Pkwy Ste 200Birmingham, AL 35243-3411 · (205) 971-7500 · Fax (205) 971-7571
Fax(205) 971-7571
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 6, 2007
Last NPPES UpdateAugust 10, 20253 updates tracked since enumeration
NPPES CertifiedAugust 10, 2025
✔ NPI 1003007980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in AL · 29596
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 29596 (AL)
3680 GRANDVIEW PKWY STE 200, Birmingham, AL 35243

Secondary Practice Location 1

Location 1209 W Spring StSylacauga, AL 35150-2973 · Phone (205) 971-7500 ext. 7500 · Fax (205) 971-7571

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Juan Mario Bernal M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274684758
PECOS Enrollment IDI20090623000359
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Juan Bernal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiovascular Disease
3680 GRANDVIEW PKWY STE 200
Birmingham, AL 35243
  • Reassigned Medicare billing, Alabama enrollment
  • 52 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 26

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
233 services207 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
193 services176 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
187 services158 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
141 services36 patients
Injection, perflutren lipid microspheres, per ml Q9957
Perflutren lipid microspheres injection, per ml, is a diagnostic tool used to enhance ultrasound images. It contains tiny gas-filled bubbles that improve the clarity of the images, aiding in a more accurate diagnosis.
94 services45 patients
Technetium tc-99m sestamibi, diagnostic, per study dose A9500
Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.
91 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35243 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.95
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$98.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
3680 GRANDVIEW PKWY STE 200
BIRMINGHAM, AL 35243
Internal Medicine (Clinical Cardiac Electrophysiology)
3680 GRANDVIEW PKWY STE 200
BIRMINGHAM, AL 35243
Internal Medicine (Interventional Cardiology)
3680 GRANDVIEW PKWY STE 200
BIRMINGHAM, AL 35243
Nurse Practitioner (Family)
3680 GRANDVIEW PKWY STE 200
BIRMINGHAM, AL 35243
Nurse Practitioner (Family)
3680 GRANDVIEW PKWY STE 200
BIRMINGHAM, AL 35243
Nurse Practitioner (Acute Care)
3680 GRANDVIEW PKWY STE 200
BIRMINGHAM, AL 35243
Internal Medicine (Cardiovascular Disease)
3680 GRANDVIEW PKWY STE 200
BIRMINGHAM, AL 35243
Internal Medicine (Cardiovascular Disease)
3680 GRANDVIEW PKWY STE 200
BIRMINGHAM, AL 35243

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Bernal's NPI number?

The NPI number for Juan Bernal is 1003007980. It was assigned to this individual provider in the NPPES registry on August 6, 2007.

Where is Juan Bernal located?

Juan Bernal practices at 3680 Grandview Pkwy Ste 200, Birmingham, AL 35243. The listed phone number is (205) 971-7500.

What is Juan Bernal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Juan Bernal enrolled in Medicare?

Yes. Juan Bernal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Juan Bernal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Bernal reassigns Medicare benefits to Affinity Cardiovascular Specialists LLC (Birmingham, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Juan Bernal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juan Bernal accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company and 1 other insurer list Juan Bernal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Juan Bernal was last updated on August 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.