NPIMap

Individual provider Active NPI

Roberto Bermudez, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fayetteville, NC
National Provider Identifier
1972827988
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
579 Issued in NC
Practice address
1738 Metromedical Dr
Fayetteville, NC 28304-3861
Phone
(910) 484-4191
NPI assigned
Mar 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 579 NC
Foot & Ankle Surgery Podiatrist 213ES0103X 579 NC Primary
Primary Podiatric Medicine Podiatrist 213EP1101X 579 NC
Foot Surgery Podiatrist 213ES0131X 579 NC

Addresses

Primary practice location

1738 Metromedical Dr
Fayetteville, NC 28304-3861

Mailing address

1738 Metromedical Dr
Fayetteville, NC 28304-3861
Phone (910) 484-4191

Other practice location 1

1645 Owen Dr
Fayetteville, NC 28304-3425
Phone (910) 615-3668

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130223000133 NC Practitioner - Podiatry 3173778198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1645 Owen Dr
Fayetteville, NC 28304-3425
Phone (910) 615-3668

1738 Metromedical Dr
Fayetteville, NC 28304-3861
Phone (910) 484-4191

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue53
Removal of nail tissue13
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
579NCMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc Foot & Ankle Surgery CurrentSince Apr 15, 2018 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Apr 15, 2018 Accepting new patients
Cape Fear Valley Health Medical Group LLC Podiatrist CurrentSince Mar 15, 2025 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Mar 15, 2025 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cape Fear Valley Health Medical Group LLC Current Accepting new patients

Locations

1645 Owen Dr
Fayetteville, NC 28304
Phone (910) 486-4486

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

1738 Metromedical Dr
Fayetteville, NC 28304
Phone (910) 484-4191

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

4850 Fayetteville Rd
Lumberton, NC 28358
Phone (910) 738-4811

Interoperability endpoints

  • Direct secure messaging: rbermudez10288@capefearvalley.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1972827988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 METROMEDICAL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043861",
            "telephone_number": "910-484-4191",
            "fax_number": "910-484-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 METROMEDICAL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043861",
            "telephone_number": "910-484-4191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1645 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043425",
            "country_code": "US",
            "telephone_number": "910-615-3668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "ROBERTO",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-19",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "579",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "579",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "579",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "579",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.