Individual provider Active NPI

Juancarlos Bermudez, PA-C

  • Physician Assistant
  • Montrose, CO
National Provider Identifier
1770255697
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0007949 Issued in CO
Practice address
1010 S Rio Grande Ave
Montrose, CO 81401-4831
Phone
(970) 497-3333
Fax
(855) 299-7837
NPI assigned
Sep 29, 2021
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0007949 CO Primary

Addresses

Primary practice location

1010 S Rio Grande Ave
Montrose, CO 81401-4831

Mailing address

PO Box 529
Olathe, CO 81425-0529
Phone (970) 323-6141

Other practice location 1

1550 E Niagara Rd
Montrose, CO 81401-5027
Phone (970) 497-4921

Other practice location 2

308 Main Street
Olathe, CO 81425
Phone (970) 323-6141

Other practice location 3

1250 Valley View Dr
Delta, CO 81416-3138
Phone (970) 874-8981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230712000562 CO Practitioner - Physician Assistant 5890155691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Olathe Community Clinic IncGroup PAC ID 5395998744, 23 clinicians
Peak Family Medicine LLCGroup PAC ID 9931411048, 15 clinicians

Practice addresses (Care Compare)

1010 S Rio Grande Ave
Montrose, CO 81401-4831
Phone (970) 497-3333

1550 E Niagara Rd
Montrose, CO 81401-5027
Phone (970) 497-4921

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Family Medicine LLC CurrentSince Jul 10, 2023 Accepting new patients
Peak Family Medicine LLC CurrentSince Jul 10, 2023 Accepting new patients
Peak Family Medicine, PA Physician Assistant Past Accepting new patients

Locations

1550 Niagara Rd
Montrose, CO 81401
Phone (970) 497-4921

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBFADA

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1770255697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 529",
            "city": "OLATHE",
            "state": "CO",
            "postal_code": "814250529",
            "telephone_number": "970-323-6141",
            "fax_number": "855-299-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S RIO GRANDE AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014831",
            "telephone_number": "970-497-3333",
            "fax_number": "855-299-7837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 E Niagara Rd",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814015027",
            "country_code": "US",
            "telephone_number": "970-497-4921",
            "fax_number": "855-855-4482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 Main Street",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "CO",
            "postal_code": "81425",
            "country_code": "US",
            "telephone_number": "970-323-6141",
            "fax_number": "855-299-8071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 Valley View Dr",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814163138",
            "country_code": "US",
            "telephone_number": "970-874-8981",
            "fax_number": "855-299-7586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "JUANCARLOS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-29",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.