Individual provider Active NPI

Jesus Alberto Fermin, RDMS

  • Diagnostic Ultrasound Physician
  • Bradenton, FL
National Provider Identifier
1902662315
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
273280 Issued in FL
Practice address
6210 Willow Beck LN Apt 303
Bradenton, FL 34202-5121
Phone
(786) 587-4752
NPI assigned
Feb 23, 2024
Last updated
Feb 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X 273280 FL Primary

Addresses

Primary practice location

6210 Willow Beck LN Apt 303
Bradenton, FL 34202-5121

Mailing address

6210 Willow Beck LN Apt 303
Bradenton, FL 34202-5121
Phone (786) 587-4752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
273280FLMDDiagnostic Ultrasound Physician

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1902662315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 WILLOW BECK LN APT 303",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342025121",
            "telephone_number": "786-587-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 WILLOW BECK LN APT 303",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342025121",
            "telephone_number": "786-587-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERMIN",
        "first_name": "JESUS",
        "middle_name": "ALBERTO",
        "credential": "RDMS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "FL",
            "license": "273280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.