Ernesto Hermosilla Bedia, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5315025174 Issued in MI

Practice address

43565 Elizabeth St
Mount Clemens, MI 48043-1034

Phone

(586) 307-9611

NPI assigned

Dec 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346301645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 PINE THISTLE LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022017",
            "telephone_number": "248-646-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43565 ELIZABETH ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480431034",
            "telephone_number": "586-307-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDIA",
        "first_name": "ERNESTO",
        "middle_name": "HERMOSILLA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5315025174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan R Bartkus, PA-C
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• Zeinab Khalil Bazzi
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• Haditya Behl, MD
• Cynthia Smith Beisser, MD
• Celson Belton, MD
• Benjamin J Doerr DO PC

• Internal Medicine Physician in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.