Bermudez, Brant A
Bermudez, Brant A is an individual health care provider with primary practice located at 8220 Louisiana Blvd Ne Suite D, Albuquerque NM 87113-2105. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Bermudez, Brant A can be contacted via phone (505) 724-4300.Contact Information
Primary practice address
8220 Louisiana Blvd Ne Suite D
Albuquerque NM 87113-2105
Phone: (505) 724-4300
Fax: (505) 724-4384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 2597 | Arizona |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 2411 | New Mexico |
Profile Details
| NPI number | 1649268988 |
|---|---|
| LBN Legal business name | Bermudez, Brant A |
| Credentials | OTR/L,CHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Apr 29th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649268988 | NPPES |
| New Mexico | MEDICAID | 71781722 | |
| New Mexico | MEDICAID | 889884 |
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