DR. WILSON FULLA BERNALES M.D.
NPI 1508824467
Family Medicine - Adult Medicine in Casper, WY

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.

Active since May 02, 2006

428 S DURBIN ST, SUITE 104, CASPER, WY 82601(307) 337-4284(307) 462-0922 Get Directions Write a Review

NPPES record last updated: December 8, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Wilson Fulla Bernales M.d. NPPES

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

DR. WILSON FULLA BERNALES M.D. (NPI 1508824467) is an individual adult medicine provider in Casper, Wyoming, licensed in Delaware (C1-0007844) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1508824467

Entity TypeIndividualMale

Primary Taxonomy207QA0505X

Provider Legal NameDR. WILSON FULLA BERNALESCredential: M.D.

Location Address428 S DURBIN ST, SUITE 104Casper, WY 82601-2818

Mailing Address428 S Durbin St Ste 104Casper, WY 82601-2818 · (307) 337-4284 · Fax (307) 462-0922

Phone(307) 337-4284

Fax(307) 462-0922

Sole ProprietorNo

Enumeration DateMay 2, 2006

Last NPPES UpdateDecember 8, 2016

✔ NPI 1508824467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in DE · C1-0007844

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 7632A (WY)

428 S DURBIN ST, Casper, WY 82601

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Other Identifiers 2

Medicare PINW22434WY

Medicare PINW22441WY

Other Providers at the Same Location NPPES 14

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

IRIS C. HARNAGEL R.PH.

Pharmacist