Individual provider Active NPI

Mohammed Bermo, MD

  • Diagnostic Radiology Physician
  • Rocky Mount, VA
National Provider Identifier
1972902732
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R8865 Issued in TX
Practice address
180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone
(540) 489-6332
Fax
(540) 459-6518
NPI assigned
Aug 18, 2014
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X R8865 TX
Diagnostic Radiology Physician 2085R0202X R8865 TX Primary

Addresses

Primary practice location

180 Floyd Ave
Rocky Mount, VA 24151-1318

Mailing address

180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 489-6332

Other practice location 1

410 W 10th Ave
Columbus, OH 43210-1240
Phone (614) 293-8315

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbermo129893@direct.carilionclinic.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180926003948 TX Practitioner - Diagnostic Radiology 1850612508 Reassigns benefits to 5 organizations
I20200817000603 VA Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 1850612508 Reassigns benefits to 7 organizations
I20250224002452 OH Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 1850612508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nuclear MedicineAlso: Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians
Osu Radiology LLCGroup PAC ID 8921031675, 180 clinicians
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians

Practice addresses (Care Compare)

1 Health Cir
Lexington, VA 24450-2448
Phone (540) 462-1200

159 Hartley Way
Pearisburg, VA 24134-2471
Phone (540) 921-6000

180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 483-5277

23340 Rogerdale PL
Sterling, VA 20166-2145
Phone (614) 293-8315

388 Ben Bolt Ave
Tazewell, VA 24651-5386
Phone (276) 988-8700

428 S Magnolia Ave
Carilion Family Medicine Associated Physici
Waynesboro, VA 22980-3629
Phone (540) 949-8241

460 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8315

6088 Roselawn Rd
Roanoke, VA 24018-7648
Phone (614) 293-8315

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8865TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Sep 28, 2020 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Sep 28, 2020 Accepting new patients
Carilion Giles Community Hospital CurrentSince Sep 28, 2020 Accepting new patients
Texas Tech University Health Sciences Center El Paso Diagnostic Radiology CurrentSince Sep 7, 2018 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jul 20, 2020 Accepting new patients
Carilion Tazewell Community Hospital CurrentSince Sep 28, 2020 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jul 20, 2020 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Sep 7, 2018 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Carilion Giles Community Hospital CurrentSince Sep 28, 2020 Accepting new patients
Carilion Medical Center CurrentSince Sep 28, 2020 Accepting new patients
Osu Radiology LLC Nuclear Medicine CurrentSince Dec 1, 2024 Accepting new patients
Carilion Medical Center Past Accepting new patients

Locations

395 W 12th Ave
Rm 460
Columbus, OH 43210
Phone (614) 293-6935

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

460 W 10th Ave
Columbus, OH 43210
Phone (614) 293-3196

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277

388 Ben Bolt Ave
Tazewell, VA 24651
Phone (276) 988-2506

428 S Magnolia Ave
Waynesboro, VA 22980
Phone (540) 949-8241

Interoperability endpoints

  • Direct secure messaging: mbermo129893@direct.carilionclinic.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 8

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": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1972902732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 FLOYD AVE",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511318",
            "telephone_number": "540-489-6332",
            "fax_number": "540-459-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 FLOYD AVE",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511318",
            "telephone_number": "540-489-6332",
            "fax_number": "540-459-6518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 W 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101240",
            "country_code": "US",
            "telephone_number": "614-293-8315",
            "fax_number": "614-293-6935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERMO",
        "first_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-18",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "TX",
            "license": "R8865",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R8865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbermo129893@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "mbermo129893@direct.carilionclinic.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "180 Floyd Ave",
            "city": "Rocky Mount",
            "state": "VA",
            "country_code": "US",
            "postal_code": "241511318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rocky Mount, VA

Sources for this page

Verify at the official NPI Registry.