John Manuel Bermudez, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

643 Issued in CO

Practice address

2930 Austin Bluffs Pkwy
Suite 102
Colorado Springs, CO 80918-5763

Phone

(719) 594-9997

Fax

(719) 594-4152

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• United Rehabilitation, P.C.

  • Psychologist
  • Colorado Springs, CO
  • NPI 1285799072
  NPD (past) Authorized official

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1083779847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 AUSTIN BLUFFS PKWY",
            "address_2": "SUITE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185763",
            "telephone_number": "719-594-9997",
            "fax_number": "719-594-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 AUSTIN BLUFFS PKWY",
            "address_2": "SUITE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185763",
            "telephone_number": "719-594-9997",
            "fax_number": "719-594-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "JOHN",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "643",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "643",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca K Bergwall, PT
• Daniel Samuel Berliner, M.D.
• Jenna Nicole Berman, MFTC
• Michael Lee Berman, M.D.
• Brisa Bermudez-Craft
• Madison Bernacki
• Laura Bernal
• Samantha Bernard
• Sophia Bernard
• Deborah Ann Bernardo, LPC

• Clinical Neuropsychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Neuropsychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.