David Alejando Bermudez, PHARMD

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

5302413749 Issued in MI

Practice address

16300 Fort St
Southgate, MI 48195-1421

Phone

(734) 284-4250

NPI assigned

Aug 31, 2021

Sex

Male

Sole proprietor

No

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 Pharmacy

State licenses

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1417625997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8639 GLENGARY ST",
            "city": "DEARBORN HTS",
            "state": "MI",
            "postal_code": "481271282",
            "telephone_number": "131-328-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951421",
            "telephone_number": "734-284-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "DAVID",
        "middle_name": "ALEJANDO",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MI",
            "license": "5302413749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bellavista Medical Center PLLC
• Beller Chiropractic Life Center, Inc
• Bryan D. Beller, D.C.
• Christina Louise Benkert, D.O. MPH
• Alic Berdin
• Brittany L Berns
• Malak Berro, LMSW
• Zeinab Mohamad Berro
• Corey Berry
• Yvonne Louise Berry, M.A.L.L.P.C.

• Pharmacotherapy Pharmacist in Southgate, MI
• Providers in Southgate, MI by specialty
• Pharmacotherapy Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.