Jairo L Bermudez MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K2848 Issued in TX

Legal business name

JAIRO L BERMUDEZ MD, PA

Practice address

1601 Redwood Rd Ste C
San Marcos, TX 78666-1423

Phone

(512) 353-1270

NPI assigned

Nov 14, 2007

Last updated

Oct 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jairo L Bermudez, MD

Title

Owner/President

Phone

(512) 353-1270

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Homar J Bartra, MD

  • Hospitalist Physician
  • Frisco, TX
  • NPI 1902863731

  Internal Medicine

  NPD (past)
• Robert D Parker

  • Podiatrist
  • San Marcos, TX
  • NPI 1972597953
  NPD (past)

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1649450065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 REDWOOD RD STE C",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786661423",
            "telephone_number": "512-353-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 REDWOOD RD STE C",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786661423",
            "telephone_number": "512-353-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIRO L BERMUDEZ MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "JAIRO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "512-353-1270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1842122-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00621F",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Richard Jackson, M.D.
• Shelley Douglas Jackson, MS, LPC-S, LCDC
• Hayden Riley Jaco
• Randa Danielle Jacobsen, NP-C
• Arthur Ray Jacobson, MD
• Shelby James, DPT
• Janah Dental PLLC (Mermaid Dental)
• Amanda Janevski, PT, DPT
• Scott Janke, PSY.D.
• James Edward Jankowski, PA

• Internal Medicine Physician in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.