JOHNATHAN FREDERICK BERMUDEZ PA-C
NPI 1720326754
Physician Assistant - Medical in Columbia, MD

Q: What is Johnathan Bermudez's NPI number?

The NPI number for Johnathan Bermudez is 1720326754. It was assigned to this individual provider in the NPPES registry on January 25, 2013.

Q: What is Johnathan Bermudez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since January 25, 2013PECOS Enrolled

74.39/100

CMS Quality Rating

5755 CEDAR LN, COLUMBIA, MD 21044(410) 740-7890 Get Directions Write a Review

NPPES record last updated: July 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Johnathan Frederick Bermudez Pa-c NPPES

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

JOHNATHAN FREDERICK BERMUDEZ PA-C (NPI 1720326754) is an individual medical provider in Columbia, Maryland, licensed in Maryland (C0005355) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720326754

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameJOHNATHAN FREDERICK BERMUDEZCredential: PA-C

Location Address5755 CEDAR LNColumbia, MD 21044-2912

Mailing Address5755 Cedar LnColumbia, MD 21044-2912

Phone(410) 740-7890

Sole ProprietorNo

Enumeration DateJanuary 25, 2013

Last NPPES UpdateJuly 8, 2015

✔ NPI 1720326754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MD · C0005355

Also ListedPhysician AssistantTaxonomy 363A00000X · License 0110004123 (VA)

5755 CEDAR LN, Columbia, MD 21044

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnathan Frederick Bermudez Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

93 services92 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.71

Promoting Interoperability

Improvement Activities

Cost

52.43

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WYNNE BREED M.D.

Emergency Medicine