Bicente Bermejo

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

B1301032105 Issued in CA

Practice address

2222 M St
Merced, CA 95340-3729

Phone

(209) 385-7434

NPI assigned

Mar 10, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1912368580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E 23RD ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404109",
            "telephone_number": "209-631-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 M ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953403729",
            "telephone_number": "209-385-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMEJO",
        "first_name": "BICENTE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "B1301032105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Wayne Benton, M.D.
• Yorai S Benzeevi, MD
• Marialena Carina Berber
• Lorena Berdejo
• Sarah Lindsey Bergman, LVN
• Nicholas Bermejo
• Soila Marez Bermejo, RAS
• Susan Bermejo
• Cristina Bernal
• Emily Diane Bernard, MA, PSYD, IBCLC

• Addiction (Substance Use Disorder) Counselor in Merced, CA
• Providers in Merced, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.