DR. ALEJANDRO B BERNAL (NPI# 1346253630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346253630 |
| Entity Type | Individual |
| Full Name | DR. ALEJANDRO B BERNAL |
| Credential | MD |
| Practice Address |
1515 36th Street Peru IL 61354 |
| Mailing Address |
600 E 1st St Spring Valley IL 61362-1512 |
| Practice Telephone | 8152234550 |
| Practice Fax Number | 8152236806 |
| Mailing Telephone | 8152234550 |
| Mailing Fax Number | 8152236806 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2008-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036048248 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036048248 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164915450 | Alejandro Bernal | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr # Mc7742, San Antonio, TX 78229-3901 | 2018-06-11 |
| Street Address |
1515 36TH STREET |
| City | PERU |
| State | IL |
| Zip Code | 61354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1205469483 | Illinois Valley Community Hospital | Registered Nurse | 1403 Sixth Street, Peru, IL 61354 | 2020-02-17 |
| 1689228322 | Zhong Xue | Dentist | 5301 Il-251, Ste A, Peru, IL 61354 | 2019-07-31 |
| 1003281668 | Christopher Shane Smith | Physical Therapist | 1400 Midtown Road, Peru, IL 61354 | 2015-12-08 |
| 1770823197 | Muscle Pain Clinic Inc | Chiropractor | 4231 Progress Blvd Ste 4, Peru, IL 61354 | 2013-02-21 |
| 1306194451 | Vijaya Lakshmi Bathina | Dentist | 5301 Route 251, Peru, IL 61354 | 2012-08-21 |
| 1225305634 | Walgreens | Point of Service | 1033 Shooting Park Road, Peru, IL 61354 | 2011-11-30 |
| 1811293574 | Charles Riva | Physical Therapist | 4461 N. Progress Blvd., Peru, IL 61354 | 2011-01-28 |
| 1932403896 | Emerging Vision, Inc | Eyewear Supplier (Equipment, not the service) | 3940 Route 251, Peru Mall Suite F-1, Peru, IL 61354 | 2011-01-06 |
| 1457668170 | Illinois Valley Community Hospital | Nurse Practitioner | 5307 Route 251, Peru, IL 61354 | 2010-09-01 |
| Find all providers in zip 61354 | ||||
| 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 |
|---|---|---|---|---|
| 1629208251 | Rafik Farag | Family Medicine | 1694 W Logansport Rd., Community Health Center of Miami County, Peru, IN 46970 | 2009-07-16 |
| 1891706107 | Jeffrey C Tanzi | Family Medicine | 1650 Midtown Rd, Peru, IL 61354-1269 | 2006-08-11 |
| 1689602062 | William Charles Hoover | Family Medicine | 315 W Old Key Dr, Peru, IN 46970-9057 | 2006-06-28 |
| 1356313787 | David W Smith | Family Medicine | 9 Elm St, Peru, NY 12972-2812 | 2006-02-01 |
| 1023010246 | Mark Ames Meyer | Family Medicine | 1000 N Broadway, Peru, IN 46970-1070 | 2005-06-01 |
| 1962948935 | Porcha Leggett | Family Medicine | 1000 N Broadway, Peru, IN 46970-1070 | 2017-01-13 |
| 1215354246 | Grant M Reed | Family Medicine | 1650 Midtown Rd, Peru, IL 61354-1200 | 2014-03-27 |
| 1700141009 | Andrew Zidow | Family Medicine | 1650 Midtown Rd, Peru, IL 61354-1200 | 2012-07-12 |
| 1912295270 | Illinois Valley Community Hospital | Family Medicine | 920 West St, Suite 311, Peru, IL 61354-2763 | 2011-07-20 |
| 1750558136 | Eamonn M Keane | Family Medicine | 275 W 12th St, Peru, IN 46970-1638 | 2008-05-14 |
| Find all providers in PERU | ||||
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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.