Individual provider Active NPI

Jose A. Bermudez Segarra, M.D.

  • Gynecology Physician
  • Bayamon, PR
National Provider Identifier
1346215936
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
9282 Issued in PR
Practice address
Paseo San Pablo #100
Edif. Dr. Arturo Cadilla Suite 408
Bayamon, PR 00961-7028
Phone
(787) 787-1060
Fax
(787) 785-9421
NPI assigned
Feb 17, 2006
Last updated
Jun 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 9282 PR Primary

Addresses

Primary practice location

Paseo San Pablo #100
Edif. Dr. Arturo Cadilla Suite 408
Bayamon, PR 00961-7028

Mailing address

#100 Paseo San Pablo
Suite 408
Bayamon, PR 00961-7028
Phone (787) 787-1060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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

Enrollment IDStateProvider typePAC IDDetails
I20130207000389 PR Practitioner - Obstetrics/Gynecology 9830343458

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Puerto Rico School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Edif Arturo Cadilla
100 Paseo San Pablo Suite 408
Bayamon, PR 00961-7028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jose Bermudez Ginecologo CSP CurrentSince Jun 12, 2018 Accepting new patients
Am Acquisition I, LLC Past Accepting new patients

Locations

100 Paseo San Pablo
Ste 408
Bayamon, PR 00961
Phone (787) 740-8116

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1346215936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#100 PASEO SAN PABLO",
            "address_2": "SUITE 408",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617028",
            "telephone_number": "787-787-1060",
            "fax_number": "787-785-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PASEO SAN PABLO #100",
            "address_2": "EDIF. DR. ARTURO CADILLA SUITE 408",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617028",
            "telephone_number": "787-787-1060",
            "fax_number": "787-785-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ SEGARRA",
        "first_name": "JOSE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PR",
            "license": "9282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.