Individual provider Active NPI

William Lamonte Bermeo, MD

  • Family Medicine Physician
  • Berrien Springs, MI
National Provider Identifier
1992369409
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301507844 Issued in MI
Practice address
9045 US Highway 31 Ste a
Berrien Springs, MI 49103-1804
Phone
(269) 473-2222
NPI assigned
Apr 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A183494 CA
Family Medicine Physician 207Q00000X 4301507844 MI Primary

Addresses

Primary practice location

9045 US Highway 31 Ste a
Berrien Springs, MI 49103-1804

Mailing address

9045 US Highway 31 Ste a
Berrien Springs, MI 49103-1804
Phone (269) 473-2222

Other practice location 1

3401 Aero Jet Ave
El Monte, CA 91731-2801
Phone (626) 286-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240703002752 CA Practitioner - Family Practice 8022552801 Reassigns benefits to 1 organization
I20250730004218 MI Practitioner - Family Practice 8022552801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Medical PracticesGroup PAC ID 1658427042, 286 clinicians

Practice addresses (Care Compare)

9045 US Hwy 31
Suite a
Berrien Springs, MI 49103-1804
Phone (269) 473-2222

Hospital & facility affiliations

  • Lakeland Hospital, St Joseph Hospital, St Joseph, MI, CCN 230021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A183494CAMDFamily Medicine Physician
4301507844MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Medical Practices CurrentSince Jul 15, 2025 Accepting new patients
Lakeland Medical Practices CurrentSince Jul 15, 2025 Accepting new patients
Herald Christian Health Center Family Medicine CurrentSince May 20, 2024 Accepting new patients
Herald Christian Health Center Family Medicine CurrentSince May 20, 2024 Accepting new patients

Locations

3401 Aero Jet Ave
El Monte, CA 91731
Phone (626) 286-8700

8841 Garvey Ave
Rosemead, CA 91770
Phone (626) 286-8700

923 S San Gabriel Blvd
San Gabriel, CA 91776
Phone (626) 286-7018

9045 US Highway 31
Ste A
Berrien Springs, MI 49103
Phone (269) 473-2222

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: wbermeo1680661@epic00.shdirect.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIFJBA

Organizations & group practices 4

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 1

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": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1992369409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9045 US HIGHWAY 31 STE A",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031804",
            "telephone_number": "269-473-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 US HIGHWAY 31 STE A",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031804",
            "telephone_number": "269-473-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Aero Jet Ave",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "917312801",
            "country_code": "US",
            "telephone_number": "626-286-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERMEO",
        "first_name": "WILLIAM",
        "middle_name": "LAMONTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-30",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A183494",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301507844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berrien Springs, MI

Sources for this page

Verify at the official NPI Registry.