Individual provider Active NPI

Angel Bermudez, M.D

  • Sports Medicine (Family Medicine) Physician
  • Saginaw, MI
National Provider Identifier
1780091546
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
4301500204 Issued in MI
Practice address
5275 Colony Dr N
Saginaw, MI 48638-7157
Phone
(989) 799-1350
Fax
(989) 799-6833
NPI assigned
Jul 14, 2014
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 4301500204 MI Primary

Addresses

Primary practice location

5275 Colony Dr N
Saginaw, MI 48638-7157

Mailing address

PO Box 779
Tawas City, MI 48764-0779
Phone (989) 799-1350

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address angelbermudez@smomsjhs.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190724001836 MI Practitioner - Family PracticePractitioner - Sports Medicine 8426363284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians
Mymichigan Medical Center SaginawGroup PAC ID 6305737156, 111 clinicians

Practice addresses (Care Compare)

3051 Kiesel Rd
Bay City, MI 48706-2449
Phone (989) 778-2900

4701 Towne Centre Rd
Suite 303
Saginaw, MI 48604-2833
Phone (989) 799-6719

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw CurrentSince Sep 1, 2019 Accepting new patients
Mymichigan Medical Center Midland CurrentSince May 1, 2025 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Sep 1, 2019 Accepting new patients
Mymichigan Medical Center Midland CurrentSince May 1, 2025 Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients

Locations

3051 Kiesel Rd
Bay City, MI 48706
Phone (989) 778-2888

9900 Birch Run Rd
Birch Run, MI 48415
Phone (866) 593-2313

1600 Brady St
Chesaning, MI 48616
Phone (989) 497-9395

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

100 Rose Ctr
Mount Pleasant, MI 48859
Phone (989) 774-3041

4851 E Pickard St
Ste 2700
Mt Pleasant, MI 48858
Phone (989) 772-6848

4677 Towne Centre Rd
Fl 2
Saginaw, MI 48604

4701 Towne Centre Rd
Ste 3
Saginaw, MI 48604
Phone (989) 790-0007

4701 Towne Centre Rd
Ste 303
Saginaw, MI 48604
Phone (989) 780-2455

5275 Colony Dr N
Saginaw, MI 48638
Phone (989) 249-3671

Interoperability endpoints

  • Direct secure messaging: angel.bermudez.1@11016.direct.athenahealth.com
  • Direct secure messaging: angelbermudez@smomsjhs.allscriptsdirect.net

Organizations & group practices 7

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 6

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": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1780091546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487640779",
            "telephone_number": "989-799-1350",
            "fax_number": "989-799-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 COLONY DR N",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486387157",
            "telephone_number": "989-799-1350",
            "fax_number": "989-799-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "ANGEL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-14",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MI",
            "license": "4301500204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angelbermudez@smomsjhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5275 Colony Dr N",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486387157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.