JOAQUIN B BERMUDEZ DO PC
NPI 1275173205
Psychiatric Hospital in Phoenix, AZ

Active since January 07, 2020
1800 E VAN BUREN ST, PHOENIX, AZ 85006(602) 251-8736 Get Directions Write a Review

NPPES record last updated: February 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 21, 2020, Jan 7, 2020 (2 updates tracked since 2020).

About Joaquin B Bermudez Do Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOAQUIN B BERMUDEZ DO PC (NPI 1275173205) is a healthcare organization registered as a psychiatric hospital in Phoenix, Arizona and active in the NPI registry since January 2020. The organization lists Joaquin B Bermudez, Provider, as its authorized official.

NPPES Registry Identity

NPI1275173205
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameJOAQUIN B BERMUDEZ DO PC
Location Address1800 E VAN BUREN STPhoenix, AZ 85006-3742
Mailing Address202 E Earll Dr Ste 160Phoenix, AZ 85012-2636 · (480) 490-7106
Organization SubpartNo
Authorized OfficialJoaquin B BermudezProvider · (520) 850-6749
Enumeration DateJanuary 7, 2020
Last NPPES UpdateFebruary 21, 20202 updates tracked since enumeration
✔ NPI 1275173205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
1800 E VAN BUREN ST, Phoenix, AZ 85006

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joaquin B Bermudez Do Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Joaquin B Bermudez Do PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Psychiatry
NPI 1104086784
202 E EARLL DR STE 160
Phoenix, AZ 85012
(602) 239-6880
✔ PECOS2.8 mi
Psychiatry
NPI 1609005891
3620 N 3RD ST
Phoenix, AZ 85012
(602) 230-7373
✔ PECOS✔ Accepts Medicare3.1 mi
Nurse Practitioner
NPI 1740702901
6610 N 47TH AVE STE 5-8
Glendale, AZ 85301
(480) 649-3352
✔ PECOS8.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joaquin B Bermudez Do PC's NPI number?

The NPI number for Joaquin B Bermudez Do PC is 1275173205. It was assigned to this organization in the NPPES registry on January 7, 2020.

Where is Joaquin B Bermudez Do PC located?

Joaquin B Bermudez Do PC is located at 1800 E Van Buren St, Phoenix, AZ 85006. The listed phone number is (602) 251-8736.

What is Joaquin B Bermudez Do PC's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Is Joaquin B Bermudez Do PC enrolled in Medicare?

Yes. Joaquin B Bermudez Do PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Joaquin B Bermudez Do PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Joaquin B Bermudez Do PC, in Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Joaquin B Bermudez Do PC was last updated on February 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.