Active NPI
Jennifer Jane Bermudez, MD
- Psychiatry Physician
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME87766
- Practice address
- 206 2ND St E
Bradenton, FL 34208-1042 - Phone
- (941) 746-5111
- Fax
- (941) 745-7233
- NPI assigned
- Jul 3, 2006
- Last updated
- Sep 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME87766 | FL | Primary |
| Psychiatry Physician | 2084P0800X | NC200401025 | NC | |
| Psychiatry Physician | 2084P0800X | 69291 | CT |
Addresses
Primary practice location
206 2ND St E
Bradenton, FL 34208-1042
Mailing address
367 S. Gulph Rd
Att: Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (775) 356-9393
Other practice location 1
250 2nd St E
Bradenton, FL 34208-1029
Phone (941) 708-8152
Other practice location 2
540 Litchfield St
Torrington, CT 06790-6679
Phone (972) 449-0540
Other names 1
- Jennifer Jones
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, FL, SC, WA, AL, CT, IA, TX, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69291 | CT | MD | Psychiatry Physician |
| NC200401025 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forefront Telecare Inc | Psychiatry | Current | Accepting new patients |
| Carolinas Medical Center | Past | Accepting new patients | |
| Access Telecare California, P.C. | Psychiatry | Past | Accepting new patients |
| Ap US 14, PA | Past | Accepting new patients |
Locations
115 N Calhoun St
Ste 4
Tallahassee, FL 32301
Phone (323) 776-3632
1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1902415904
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1396775888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 S. GULPH RD",
"address_2": "ATT: IPM CREDENTIALING",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194063121",
"telephone_number": "775-356-9393",
"fax_number": "775-356-5590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 2ND ST E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081042",
"telephone_number": "941-746-5111",
"fax_number": "941-745-7233"
}
],
"practiceLocations": [
{
"address_1": "250 2nd St E",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342081029",
"country_code": "US",
"telephone_number": "941-708-8152",
"fax_number": "941-708-8136",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "540 Litchfield St",
"address_purpose": "LOCATION",
"city": "Torrington",
"state": "CT",
"postal_code": "067906679",
"country_code": "US",
"telephone_number": "972-449-0540",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERMUDEZ",
"first_name": "JENNIFER",
"middle_name": "JANE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME87766",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "NC200401025",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "69291",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "JONES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.