Individual provider Active NPI

Jennifer Jane Bermudez, MD

  • Psychiatry Physician
  • Bradenton, FL
National Provider Identifier
1396775888
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME87766 Issued in FL
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, SC, WA, AL, CT, IA, TX, AR9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20041115000475 NC Practitioner - Psychiatry 2365406915 Reassigns benefits to 1 organization
I20061006000224 FL Practitioner - Psychiatry 2365406915 Reassigns benefits to 1 organization
I20230620003517 SC Practitioner - Psychiatry 2365406915
I20230628001566 WA Practitioner - Psychiatry 2365406915 Reassigns benefits to 1 organization
I20230703000683 AL Practitioner - Psychiatry 2365406915
I20241216000917 CT Practitioner - Psychiatry 2365406915 Reassigns benefits to 1 organization
I20250117001626 IA Practitioner - Psychiatry 2365406915 Reassigns benefits to 1 organization
I20250124000534 TX Practitioner - Psychiatry 2365406915 Reassigns benefits to 1 organization
I20250228002404 AR Practitioner - Psychiatry 2365406915 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69291CTMDPsychiatry Physician
NC200401025NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Telecare Inc Psychiatry CurrentSince Aug 3, 2025 Accepting new patients
Carolinas Medical Center Past Accepting new patients
Access Telecare California, P.C. Psychiatry PastSince Sep 16, 2023 Accepting new patients
Ap US 14, PA PastSince Oct 15, 2023 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.

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

Verify at the official NPI Registry.