Individual provider Active NPI

Paul F Bermudez, MD, DDM

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Detroit, MI
National Provider Identifier
1326427477
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
2901601179 Issued in MI
Practice address
7633 E Jefferson Ave Ste 70
Detroit, MI 48214-3730
Phone
(313) 499-4775
NPI assigned
May 21, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4301504167 MI
Dentist 122300000X 30.024928 OH
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 2901601179 MI Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 4301504167 MI
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7633 E Jefferson Ave Ste 70
Detroit, MI 48214-3730

Mailing address

7633 E Jefferson Ave Ste 70
Detroit, MI 48214-3730

Other practice location 1

2799 W Grand Blvd
Detroit, MI 48202-2689
Phone (313) 916-2000

Other practice location 2

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (810) 429-0024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210524000293 MI Practitioner - Oral SurgeryPractitioner - General Practice 5890075535 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

27483 Dequindre Rd
Suite 204
Madison Heights, MI 48071-5711
Phone (248) 967-7326

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2901601179MIMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince May 20, 2021 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Henry Ford Health System Dentist CurrentSince Oct 1, 2025 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince May 20, 2021 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jan 1, 2022 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health System CurrentSince Oct 1, 2025 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jan 1, 2022 Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients
St. John Hospital Past Accepting new patients

Locations

22201 Moross Rd
Ste 155
Detroit, MI 48236
Phone (313) 499-4775

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

7633 E Jefferson Ave
Ste 70
Detroit, MI 48214
Phone (313) 499-4775

22151 Moross Rd
Ste 209
Grosse Pointe, MI 48236
Phone (313) 343-3804

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

26750 Providence Pkwy
Ste 210
Novi, MI 48374
Phone (248) 465-4782

2800 Livernois Rd
Ste 500
Troy, MI 48083
Phone (586) 753-0400

Interoperability endpoints

  • Direct secure messaging: pbermudez1117330@direct.hfhs.org
  • FHIR API: https://fhir.hfhs.org/FHIRProxy/api/FHIR/R4/

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1326427477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 E JEFFERSON AVE STE 70",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 E JEFFERSON AVE STE 70",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143730",
            "telephone_number": "313-499-4775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2799 W Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022689",
            "country_code": "US",
            "telephone_number": "313-916-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11100 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061716",
            "country_code": "US",
            "telephone_number": "810-429-0024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "PAUL",
        "middle_name": "F",
        "credential": "MD, DDM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-21",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301504167",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024928",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MI",
            "license": "2901601179",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MI",
            "license": "4301504167",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.