Jibriallah Bermudas

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1197 Beaver Ruin Rd Ste 102
Norcross, GA 30093-6802

Phone

(770) 912-2491

NPI assigned

Nov 30, 2007

Sex

Female

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)

Not enrolled

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1356523385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 IVEY PARK LN",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924786",
            "telephone_number": "770-912-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 BEAVER RUIN RD STE 102",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300936802",
            "telephone_number": "770-912-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDAS",
        "first_name": "JIBRIALLAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Benitez, LAPC
• Angela Bennett
• Berkeley Medical and Rehab Center
• Ruth Berkelmanj, MD
• Wendy Bermpohl, D.O.
• Slamawit Beshah
• Bestway Homecare and Family Solutions, LLC
• Maria Isabel Betancur
• Better Health Medical Group
• Randeep Singh Bhullar, DDS

• Specialist in Norcross, GA
• Providers in Norcross, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.