JUAN MARIO BERNAL M.D. NPI 1003007980

Internal Medicine (Interventional Cardiology) in Birmingham, AL

NPI 1003007980 Individual Male Years of Experience 23 Internal Medicine Interventional Cardiology PECOS Enrolled Accepts Medicare Approved Payment

About JUAN BERNAL

Juan Bernal is an internal medicine provider established in Birmingham, Alabama and his medical specialization is internal medicine (interventional cardiology) with more than 23 years of experience. The NPI number of Juan Bernal is 1003007980 and was assigned on August 2007. The practitioner's primary taxonomy code is 207RI0011X with license number 29596 (AL). The provider is registered as an individual and his NPI record was last updated 6 years ago.

An internist like Juan Mario Bernal M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Juan Bernal is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Juan Bernal is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Grandview Medical Center, Coosa Valley Medical Center, Gadsden Regional Medical Center and Cullman Regional Medical Center.

NPI

1003007980

Provider Name JUAN MARIO BERNAL M.D.
Provider Location Address3686 GRANDVIEW PKWY SUITE 720 BIRMINGHAM, AL 35243
Provider Mailing Address3686 GRANDVIEW PKWY SUITE 720 BIRMINGHAM, AL 35243
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1999
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-06-2007
Last Update Date02-11-2016


Primary Taxonomy

Taxonomy Code207RI0011X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationInterventional Cardiology
License No.29596
License StateAL
Taxonomy DescriptionAn 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.

Business Address

JUAN MARIO BERNAL M.D.
3686 GRANDVIEW PKWY
SUITE 720
BIRMINGHAM, AL
ZIP 35243
Phone: (205) 971-7500

Get Directions


Mailing Address

JUAN MARIO BERNAL M.D.
3686 GRANDVIEW PKWY
SUITE 720
BIRMINGHAM, AL
ZIP 35243
Phone: (205) 971-7500



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID3274684758
PECOS Enrollment IDI20090623000359
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 148Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • 94Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 67Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)
  • 49Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • 26Catheter insertion of stents in major coronary artery or branch, accessed through the skin (HCPCS:92928)
  • 22Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report (HCPCS:93018)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Juan Bernal is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
GRANDVIEW MEDICAL CENTER3690 GRANDVIEW PARKWAY
BIRMINGHAM, AL 35243
(205) 971-1000Acute Care Hospitals10104
COOSA VALLEY MEDICAL CENTER315 W HICKORY ST
SYLACAUGA, AL 35150
(256) 249-5000Acute Care Hospitals10164
GADSDEN REGIONAL MEDICAL CENTER1007 GOODYEAR AVENUE
GADSDEN, AL 35903
(256) 494-4000Acute Care Hospitals10040
CULLMAN REGIONAL MEDICAL CENTER1912 ALABAMA HIGHWAY 157
CULLMAN, AL 35058
(256) 737-2000Acute Care Hospitals10035

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease29596ALNo

Taxonomy Description: an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942679337WALGREEN CO
Organization
Pharmacy3686 GRANDVIEW PKWY STE 120
BIRMINGHAM, AL 35243
(205) 682-8078
1598727711ADVANCED SURGEONS, PC
Organization
Specialist3686 GRANDVIEW PKWY SUITE 400
BIRMINGHAM, AL 35243
(205) 595-8985
1598711616BAPTIST HEALTH SYSTEM, INC.
Organization
Internal Medicine3686 GRANDVIEW PKWY SUITE 810
BIRMINGHAM, AL 35243
(205) 971-5135
1295739274 ALVARO ALEJANDRO ALDANA MD
Individual
Internal Medicine (Interventional Cardiology)3686 GRANDVIEW PKWY SUITE 720
BIRMINGHAM, AL 35243
(205) 971-7500
1245234137 BYRON DALE JONES MD
Individual
Internal Medicine (Cardiovascular Disease)3686 GRANDVIEW PKWY SUITE 720
BIRMINGHAM, AL 35243
(205) 971-7500
1255335246 VIKRAM ARORA MD
Individual
Internal Medicine (Cardiovascular Disease)3686 GRANDVIEW PKWY SUITE 720
BIRMINGHAM, AL 35243
(205) 971-7500
1306867676PULMONARY ASSOCIATES OF THE SOUTHEAST PC
Organization
Internal Medicine (Pulmonary Disease)3686 GRANDVIEW PKWY SUITE 500
BIRMINGHAM, AL 35243
(205) 802-2000
1316960248DR. ALLAN GOLDSTEIN MD
Individual
Internal Medicine (Pulmonary Disease)3686 GRANDVIEW PKWY SUITE 500
BIRMINGHAM, AL 35243
(205) 802-2000
1629191168DR. CHRISTOPHER A KING M.D.
Individual
Internal Medicine (Interventional Cardiology)3686 GRANDVIEW PKWY SUITE 720
BIRMINGHAM, AL 35243
(205) 971-7500
1821201690 JOSE OSORIO MD
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)3686 GRANDVIEW PKWY STE 720
BIRMINGHAM, AL 35243
(205) 971-7500
1528066313DR. ALAN Q. THOMAS M.D.
Individual
Internal Medicine (Sleep Medicine)3686 GRANDVIEW PKWY SUITE 500
BIRMINGHAM, AL 35243
(205) 802-2000
1538188586DR. RUSSELL BEATY MD
Individual
Internal Medicine (Pulmonary Disease)3686 GRANDVIEW PKWY SUITE 500
BIRMINGHAM, AL 35243
(205) 802-2000
1285740456 ERIN M OZGUN M.D.
Individual
Internal Medicine (Sleep Medicine)3686 GRANDVIEW PKWY SUITE 500
BIRMINGHAM, AL 35243
(205) 802-2000
1235342718 SANDRA KAYE GILLEY M.D.
Individual
Internal Medicine (Pulmonary Disease)3686 GRANDVIEW PKWY SUITE 500
BIRMINGHAM, AL 35243
(205) 802-2000
1932341708MRS. BETHANY CAMPBELL M.D.
Individual
Obstetrics & Gynecology3686 GRANDVIEW PKWY SUITE 300
BIRMINGHAM, AL 35243
(205) 536-7676
1861503682 OSCAR DAVID TAUNTON M.D.
Individual
Internal Medicine3686 GRANDVIEW PKWY SUITE 810
BIRMINGHAM, AL 35243
(205) 971-5135
1316059900 DEREK E ROBINSON MD
Individual
Surgery3686 GRANDVIEW PKWY STE 810
BIRMINGHAM, AL 35243
(205) 971-2565
1134447980 BENJAMIN SCOTT JONES M.D.
Individual
Internal Medicine (Hematology & Oncology)3686 GRANDVIEW PKWY SUITE 510
BIRMINGHAM, AL 35243
(205) 971-5077
1861837155 CAROLYN ELISE KEZAR M.D.
Individual
Internal Medicine (Hospice and Palliative Medicine)3686 GRANDVIEW PKWY SUITE 810
BIRMINGHAM, AL 35243
(205) 971-5745
1134523509 TONI ALMEIDA CRNP
Individual
Nurse Practitioner (Family)3686 GRANDVIEW PKWY
BIRMINGHAM, AL 35243
(205) 971-7500

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.