Organization Active NPI

Yanira M Bermudez DPM PA

  • Podiatrist
  • Delray Beach, FL
National Provider Identifier
1457403594
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2851 Issued in FL
Legal business name
YANIRA M BERMUDEZ DPM PA
Practice address
5353 Atlantic Ave Ste 401
Delray Beach, FL 33484-8173
Phone
(561) 284-8323
Fax
(561) 284-8324
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Authorized official

Name
Yanira M Bermudez, DPMNPI 1437122900
Title
Owner
Phone
(305) 801-8689

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO2851 FL Primary

Addresses

Primary practice location

5353 Atlantic Ave Ste 401
Delray Beach, FL 33484-8173

Mailing address

5353 W Atlantic Ave Ste 401
Miami, FL 33484-8173
Phone (305) 801-8689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050722000676 FL Part B Supplier - Clinic/Group Practice 4082641840 Receives reassigned benefits from 1 practitioner
Practice locations: Delray Beach, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

5353 Atlantic Ave
Ste 401
Delray Beach, FL 33484
Phone (561) 284-8323

600 NW 35th Ave
Fl 1
Miami, FL 33125
Phone (305) 643-7855

7109 Harding Ave
Miami Beach, FL 33141
Phone (305) 865-4550

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1457403594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 W ATLANTIC AVE STE 401",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "334848173",
            "telephone_number": "305-801-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 ATLANTIC AVE STE 401",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848173",
            "telephone_number": "561-284-8323",
            "fax_number": "561-284-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANIRA M BERMUDEZ DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "YANIRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-801-8689",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.