Active NPI
Rene Bermudez, DO
- MOHS-Micrographic Surgery Physician
- Whiteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 2005-00626
- Practice address
- 720 Jefferson St
Whiteville, NC 28472-3706 - Phone
- (910) 251-9944
- Fax
- (910) 763-4666
- NPI assigned
- Jan 10, 2006
- Last updated
- Feb 2, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 2005-00626 | NC | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 2005-00626 | NC | Primary |
Addresses
Primary practice location
720 Jefferson St
Whiteville, NC 28472-3706
Mailing address
1099 Medical Center Dr Ste 201
Wilmington, NC 28401-7346
Phone (910) 251-9944
Other practice location 1
5272 Ocean Hwy W
Shallotte, NC 28470-4006
Phone (910) 251-9944
Other practice location 2
125 Fox Hollow Rd Ste 101
Pinehurst, NC 28374-8594
Phone (910) 684-5211
Other practice location 3
1099 Medical Center Dr Ste 100 and 201
Wilmington, NC 28401-7346
Phone (910) 251-9944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Philadelphia College of Osteopathic Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
720 Jefferson St
Whiteville, NC 28472-3706
Phone (910) 251-9944
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 105 |
| Removal of skin lesions | 169 |
| Removal of skin cancer | 907 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 98 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005-00626 | NC | MD | MOHS-Micrographic Surgery Physician |
| 4705 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Charlotte-Mecklenburg Hospital Authority | Dermatology | Current | Accepting new patients |
| Southern Dermatology, P.a. | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Dermatology Center of Shelby PA | Dermatology | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Anne Arundel Dermatology Affiliates PC | Dermatology | Past | Accepting new patients |
| Carolina Skin Care, PA | Dermatology | Past | Accepting new patients |
Locations
1306 Concourse Dr
Ste 201
Linthicum Heights, MD 21090
1085 NE Gateway Ct NE
#200A
Concord, NC 28025
Phone (704) 403-8650
200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740
200 Medical Park Dr
Ste 320
Concord, NC 28025
Phone (704) 403-2760
200 Medical Park Dr
Ste 460
Concord, NC 28025
Phone (704) 403-2777
920 Church St N
Concord, NC 28025
Phone (704) 403-3000
8560 Cook St
Mt Pleasant, NC 28124
Phone (704) 403-1911
125 Fox Hollow Rd
Ste 101
Pinehurst, NC 28374
Phone (910) 295-7546
4201 Lake Boone Trl
Ste 200
Raleigh, NC 27607
Phone (919) 782-2152
5272 Ocean Hwy W
Shallotte, NC 28470
Phone (888) 501-5597
935 Wyke Rd
Shelby, NC 28150
Phone (704) 481-1142
720 Jefferson St
Whiteville, NC 28472
Phone (910) 642-5832
1099 Medical Center Dr
Ste 100
Wilmington, NC 28401
1099 Medical Center Dr
Ste 200
Wilmington, NC 28401
1099 Medical Center Dr
Ste 201
Wilmington, NC 28401
Phone (910) 251-9444
1099 Medical Center Dr
Unit 201100A
Wilmington, NC 28401
123 Fox Rd
Knoxville, TN 37922
Phone (865) 342-5811
Interoperability endpoints
- rbermudez@aadermaffiliates.emadirect.md
- rbermudez@ncderm.emadirect.md
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Raleigh, NC
- NPI 1568415586
-
dba Levine Cancer Institute
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
dba Atrium Health Dermatology
- Dermatology Physician
- Concord, NC
- NPI 1174950752
-
dba Atrium Health Pineville Rehabilitation Hospital
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
-
- Dermatology Physician
- Pinehurst, NC
- NPI 1205999687
-
- Dermatology Physician
- Hunt Valley, MD
- NPI 1083200794
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health New Hanover Regional Medical Center
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1003895004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1099 MEDICAL CENTER DR STE 201",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017346",
"telephone_number": "910-251-9944",
"fax_number": "910-763-4666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 JEFFERSON ST",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284723706",
"telephone_number": "910-251-9944",
"fax_number": "910-763-4666"
}
],
"practiceLocations": [
{
"address_1": "5272 Ocean Hwy W",
"address_purpose": "LOCATION",
"city": "Shallotte",
"state": "NC",
"postal_code": "284704006",
"country_code": "US",
"telephone_number": "910-251-9944",
"fax_number": "910-763-4666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125 Fox Hollow Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Pinehurst",
"state": "NC",
"postal_code": "283748594",
"country_code": "US",
"telephone_number": "910-684-5211",
"fax_number": "910-857-6647",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1099 Medical Center Dr Ste 100 and 201",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284017346",
"country_code": "US",
"telephone_number": "910-251-9944",
"fax_number": "910-763-4666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERMUDEZ",
"first_name": "RENE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "2005-00626",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NC",
"license": "2005-00626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whiteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.