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Colleen Bernal, PA-C

NPI 1396216578ActiveIndividual· Physician Assistant· Jbsa Lackland, TX

Physician Assistant (PA-C) in Jbsa Lackland, Texas, licensed in NY, with an NPI issued in December 2018.

Overview

NPI1396216578
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedDec 16, 2018
Last updated in NPPESAug 11, 2025
Certified by providerAug 11, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X031154-01NY
Military Health Care Provider171000000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Jbsa Lackland

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