Bermudez Chiropractic Center, P.a.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

CH8963 Issued in FL

Legal business name

BERMUDEZ CHIROPRACTIC CENTER, P.A.

Practice address

4801 Palm Beach Blvd
Fort Myers, FL 33905-3214

Phone

(239) 313-5427

Fax

(239) 313-5427

NPI assigned

Feb 2, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jacqueline Bermudez, DCNPI 1275668659

Title

Chiropractor

Phone

(239) 919-9899

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Bermudez, D.C.

  • Chiropractor
  • Fort Myers, FL
  • NPI 1275668659
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1073751863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339290061",
            "telephone_number": "239-919-9899",
            "fax_number": "239-313-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 PALM BEACH BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339053214",
            "telephone_number": "239-313-5427",
            "fax_number": "239-313-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERMUDEZ CHIROPRACTIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "239-919-9899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "CH8963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Bergin, PA-C
• Jonathan Bergin, PHARMD
• Melanie Michelle Berke, RD, LDN
• Evan Michael Berman, APRN
• Juan Miguel Bermudez Barandica, MD
• Dianelis Bermudez Perez
• Angelica Bermudez
• Jacqueline Bermudez, D.C.
• Marisa Bermudez, PSYD
• Melissa Bermudez

• Health Maintenance Organization in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.