Joaquin Baca Bermudez, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

R70151 Issued in AZ

Practice address

202 E Earll Dr
Ste 160
Phoenix, AZ 85012-2636

Phone

(602) 239-6880

Fax

(602) 239-6988

NPI assigned

Jun 17, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

85.82 of 100Reported as group

Quality

72.84

Improvement activities

40

Cost

68.08

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Joaquin B Bermudez DO PC

  • Psychiatric Hospital
  • Phoenix, AZ
  • NPI 1275173205
  Medicare reassignment NPD Authorized official
• Connectionsaz, LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1083840953
  Medicare reassignment NPD
• Jewish Family & Children'S Service

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1023174455
  Medicare reassignment NPD
• Ubh of Phoenix LLC

  • Psychiatric Hospital
  • Phoenix, AZ
  • NPI 1083942098
  Medicare reassignment NPD
• Connectionsaz, LLC

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1356674030
  NPD
• Connectionsaz, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1972985547
  NPD
• Jewish Family & Children'S Service

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1467520577
  NPD
• Jewish Family & Children'S Service

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1609939214
  NPD
• Ubh of Phoenix LLC

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1437571213
  NPD
• District Medical Group, Inc

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1295968162

  Psychiatry

  NPD (past)
• Haven Behavioral Services of Phoenix, LLC

  • Psychiatric Hospital
  • Phoenix, AZ
  • NPI 1275716896
  NPD (past)
• Redemption Psychiatry, LLC

  • Child & Adolescent Psychiatry Physician
  • Gilbert, AZ
  • NPI 1053757278
  NPD (past)

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1104086784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E EARLL DR",
            "address_2": "STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122636",
            "telephone_number": "602-239-6880",
            "fax_number": "602-239-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E EARLL DR",
            "address_2": "STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122636",
            "telephone_number": "602-239-6880",
            "fax_number": "602-239-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "JOAQUIN",
        "middle_name": "BACA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "R70151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Berlinger
• Karen A Berman, LPC
• Kevin M Berman, MD
• Laura Berman, CRNA
• Sandra Berman
• Alanna Cristin Bernacchi, D.C.
• Bernadette Roumbos LLC
• Dulce Ivonne Bernal Desiderio, RBT
• Kyla Starr Bernal-Christenson, BCBA
• Amanda E. Bernal, LPC

• Psychiatry Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.

Verify at the official NPI Registry.