Maria A Bermudez, PHYSICIAN ASST PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

00184 Issued in RI

Practice address

42 Park Place
Pawtucket, RI 02860

Phone

(401) 729-0080

Fax

(401) 729-0438

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Angels Medical Associates LLC

  • Gastroenterology Physician
  • Johnston, RI
  • NPI 1922406875
  NPD (past)
• Atwood Gastroenterology Services, LTD.

  • Gastroenterology Physician
  • Johnston, RI
  • NPI 1407836109
  NPD (past)
• Joseph C Cambio MD LTD

  • Urology Physician
  • West Warwick, RI
  • NPI 1679555395
  NPD (past)
• Park Medical Associates, LLC

  • Internal Medicine Physician
  • Cranston, RI
  • NPI 1033427398
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1578588166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 MINERAL SPRING AVE APT 11",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602808",
            "telephone_number": "401-722-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 PARK PLACE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-729-0080",
            "fax_number": "401-729-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "MARIA",
        "middle_name": "A",
        "credential": "PHYSICIAN ASST PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "00184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCHIP",
            "identifier": "404960",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "30677",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet M Benson, NP
• Antonio Bento, BACHELORS
• Krystal L. Bento
• Leah Anne Berg, LICSW
• Brandon Scott Bergman
• Amir Bernaba, MD
• Meghan Bernier, LICSW
• Jackie Berry, CSSA
• Leonard R Bertheau, D.O.
• Cindy Diane Bertrand

• Physician Assistant in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.