KENNETH R BERNAL (DO) – Family Medicine Physician, NPI 1023087434

KENNETH R BERNAL (DO) is a healthcare provider. based in Rockwall, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. H2245 (TX). The NPI Number for KENNETH R BERNAL (DO) is 1023087434

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH R BERNAL (DO)
NPI
1023087434
Phone
(972) 771-2500
Address
2265 N LAKESHORE DR STE 101
Enumeration Date
16 March 2006
Last Update Date
20 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9727712500
Graduation Year
1986 (40 years ago)
PAC ID
8022028166
Group Practice PAC ID
4385535954
Professional Enrollment ID
I20060503000523
Address ID
TX750873210RO2265XDRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for KENNETH R BERNAL (DO)

  • North Lakeshore Drive, Rockwall, Rockwall County, Texas, 75087, United States

    ROCKWALL, TX 750873210

    Phone: (972) 771-2500

    Fax: (972) 722-4550

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 163 Open Payments records for all available years, with a total value of $3,268.

Total Amount is formed as General ($3,268) + Research ($0) + Ownership ($0) = $3,268.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($362).

Total Amount

$3,268

General + Research + Ownership

Payments

163

Total payment records

General Amount

$3,268

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-05-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060503000523IFamily PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes741310$0
J1100Injection, dexamethasone sodium phosphate, 1 mg11226$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg10826$0
81003Automated urinalysis test7251$0
96372Injection of drug or substance under skin or into muscle7142$0
View full utilization report →

Insurance plans in this area (ZIP 75087)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385535954View full group profile
NameSpecialtyState
Internal MedicineTX
Vascular SurgeryPA
Internal MedicineTX
-TX
-TX
-TX
-TX
-TX
Cardiovascular Disease (Cardiology), Internal MedicineTX
Family PracticeTX

Reviews

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Frequently asked questions

Does KENNETH R BERNAL (DO) have a public NPI I can cite?
Public records show KENNETH R BERNAL (DO) under NPI 1023087434.
Is KENNETH R BERNAL (DO)'s NPI status active today?
Active status means KENNETH R BERNAL (DO)'s NPI record is not deactivated in the public file.
What services align with KENNETH R BERNAL (DO)'s listing?
KENNETH R BERNAL (DO)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to KENNETH R BERNAL (DO)?
The directory associates KENNETH R BERNAL (DO) with Rockwall, Texas. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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