Individual provider · Type 1 NPI

Johnathan Frederick Bermudez, PA-C

Medical Physician Assistant · Columbia, MD

NPI number 1720326754 Active

Practice location

5755 Cedar Ln
Columbia, MD 21044-2912

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0110004123 (VA)
Medical Physician Assistant Primary 363AM0700XC0005355 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1720326754

Johnathan Frederick Bermudez, PA-C's National Provider Identifier is 1720326754, issued on Jan 25, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Columbia, MD. The record was last updated on Jul 8, 2015.