Individual
GUILLERMO JOSE BERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
104 PHEASANT RUN STE 105, NEWTOWN, PA 18940-3439
(215) 741-3141
(215) 741-3143
Mailing address
613 E MELISSA CIR, YARDLEY, PA 19067-4482
(215) 499-6052
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD045552E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0447984000
INDEPENDENCE BLUE CROSS
—
01
—
23191
AETNA HMO
—
01
—
250004597
MEDICARE RAILROAD
—
01
—
269999
MAMSI
—
01
—
4272117
AETNA NON HMO
—
01
—
618804
INDEPENDENCE BLUE CROSS
—
01
—
BE618804
HIGHMARK BLUE SHIELD
—
01
—
BUS107
OXFORD
—
01
—
PO28471
CHAMPUS/TRICARE
—
Enumeration date
07/01/2005
Last updated
07/21/2025
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