Individual provider Active NPI

Richard Scott Bermudez, M.D.

  • Radiation Oncology Physician
  • Covington, LA
National Provider Identifier
1811129000
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
203474 Issued in LA
Practice address
1203 S Tyler St
Ste 100
Covington, LA 70433-2353
Phone
(985) 875-2234
NPI assigned
Aug 20, 2009
Last updated
Dec 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 203474 LA Primary

Addresses

Primary practice location

1203 S Tyler St
Ste 100
Covington, LA 70433-2353

Mailing address

4950 Essen Lane
Attn: Kristi Siemann
Baton Rouge, LA 70809-3482
Phone (225) 215-1311

Other identifiers 1

IdentifierTypeStateIssuer
1811521MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20091219000119 LA Practitioner - Radiation Oncology 1456491653 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Harvard Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Bird Perkins Cancer CenterGroup PAC ID 4385646280, 95 clinicians

Practice addresses (Care Compare)

1203 S Tyler St
Suite 100
Covington, LA 70433-2353
Phone (985) 875-2234

15728 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone (985) 542-5000

4950 Essen LN
Baton Rouge, LA 70809-3738
Phone (225) 767-0847

4950 Essen LN
Suite 500
Baton Rouge, LA 70809-3482
Phone (225) 767-0847

8166 Main St
Suite 101
Houma, LA 70360-3404
Phone (985) 876-9045

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203474LAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Medical Center CurrentSince Oct 1, 2023 Accepting new patients
Mary Bird Perkins Cancer Center Radiation Oncology CurrentSince Dec 1, 2009 Accepting new patients
Radiation Oncology Center - Zachary CurrentSince Mar 3, 2024 Accepting new patients
Baton Rouge General Medical Center CurrentSince Oct 1, 2023 Accepting new patients
Radiation Oncology Center - Zachary, LLC Current Accepting new patients
Baton Rouge General Medical Center Past Accepting new patients
St. Elizabeth-Mary Bird Perkins Cancer Center, L.L.C. Radiation Oncology Past Accepting new patients
Radiology Associates LLC Past Accepting new patients

Locations

3401 North Blvd
Baton Rouge, LA 70806
Phone (225) 381-2755

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

4950 Essen Ln
Ste 500
Baton Rouge, LA 70809
Phone (225) 765-8823

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

1203 S Tyler St
Covington, LA 70433
Phone (985) 875-2234

1203 S Tyler St
Ste 100
Covington, LA 70433
Phone (985) 875-2234

15728 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 542-5000

8166 Main St
Ste 101
Houma, LA 70360
Phone (985) 876-9045

4950 Essen Ln
St George, LA 70809
Phone (225) 215-1311

6180 Main St
Ste B
Zachary, LA 70791
Phone (225) 381-6550

Interoperability endpoints

  • Direct secure messaging: scott.bermudez@directaddress.net

Organizations & group practices 8

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1811129000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 ESSEN LANE",
            "address_2": "ATTN: KRISTI SIEMANN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093482",
            "telephone_number": "225-215-1311",
            "fax_number": "225-215-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 S TYLER ST",
            "address_2": "STE 100",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332353",
            "telephone_number": "985-875-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "RICHARD",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "LA",
            "license": "203474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811521",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.