JESUS BERNAL VALDEPENAS (NPI# 1679651012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679651012 |
| Entity Type | Individual |
| Full Name | JESUS BERNAL VALDEPENAS |
| Other Name | J B VALDEPENAS |
| Credential | MD |
| Practice Address |
2447 Pawtucket Avenue East Providence RI 02914 |
| Practice Telephone | 4014346441 |
| Mailing Telephone | 4014346441 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 1111 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE CROSS BLUE SHIELD | 4978 | 01 |
| RI | 9000497 | 05 |
| Street Address |
2447 PAWTUCKET AVENUE |
| City | EAST PROVIDENCE |
| State | RI |
| Zip Code | 02914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457988198 | Sean C. Duffy | Massage Therapist | 231 Warren Ave., East Providence, RI 02914 | 2020-03-24 |
| 1457905606 | Jeanine Le-kreuzer, Lmhc | Clinic/Center | 3421 Pawtucket Ave, East Providence, RI 02914 | 2019-07-26 |
| 1881113983 | Megan Grace Fitzpatrick | Student in an Organized Health Care Education/Training Program | 51 Milburn Rd, East Providence, RI 02914 | 2017-09-11 |
| 1265719660 | Hilary Elise Bicknell | Physical Therapist | 927 B Warren Ave, East Providence, RI 02914 | 2011-11-14 |
| 1346549037 | Amanda M Hope | Occupational Therapist | 2680 Pawtucket Ave, East Providence, RI 02914 | 2011-03-21 |
| 1780993824 | Shannon Hayes | Physical Therapist | 400 Massaoit Ave, East Providence, RI 02914 | 2010-10-06 |
| 1053623538 | Ricardo Rafael Correa Marquez | Internal Medicine | 900 Warren Avenue, Suite 300, East Providence, RI 02914 | 2010-07-13 |
| 1013231570 | Michael Seidler | Internal Medicine | 20 Catamore Blvd., East Providence, RI 02914 | 2010-03-26 |
| 1053543405 | Ray Rezania | Dentist | 1055 South Broadway, East Providence, RI 02914 | 2009-08-19 |
| 1144464587 | John F Maynard | Urology | Metacomet Office Park, 450 Veterans Parkway, East Providence, RI 02914 | 2009-04-29 |
| Find all providers in zip 02914 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770001356 | Donald Russell Haggerty | General Practice | 246 Island Dr, Middletown, RI 02842-7509 | 2017-09-05 |
| 1326434440 | Upward Health National LLC | General Practice | 188 Valley St Ste 201, Providence, RI 02909-2468 | 2015-04-15 |
| 1306188909 | Albert Edward Dahlberg | General Practice | 185 Meeting St, Room L-254, Sfh, Brown University, Providence, RI 02912-0001 | 2013-03-21 |
| 1528346731 | Thomas E. Mccay | General Practice | 1051 Ten Rod Rd Unit B-210, North Kingstown, RI 02852-4163 | 2011-07-22 |
| 1104134154 | Dr. Ghazi Accaoui, M.d. Inc. | General Practice | 124 Broad Street., Pawtucket, RI 02860-2052 | 2010-09-23 |
| 1912237686 | Ralph Patrick Miech | General Practice | 50 Woodcrest Dr, Riverside, RI 02915-1819 | 2010-01-02 |
| 1457588543 | Thomas James Martin | General Practice | 56 Rice St., Pawwtucket, RI 02861-1530 | 2009-06-16 |
| 1316181316 | Simon Melnick Do, Ltd | General Practice | 1050 Main St Unit 8, East Greenwich, RI 02818-3162 | 2009-04-22 |
| 1205096153 | Sheila Steiner | General Practice | 27 Carousel Drive, Riverside, RI 02915 | 2008-06-13 |
| 1902812480 | Donald A Nadeau | General Practice | 1312 Oaklaw Ave, Midland Medical, Cranston, RI 02920 | 2006-08-01 |
| Find all providers with the same taxonomy | ||||
| City | EAST PROVIDENCE |
| Zip Code | 02914 |
Please comment or provide details below to improve the information on JESUS BERNAL VALDEPENAS.
| 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.