NICOLE CHRISTINE BERMUDES (NPI# 1316582273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316582273 |
| Entity Type | Individual |
| Full Name | NICOLE CHRISTINE BERMUDES |
| Credential | PA-C |
| Practice Address |
1111 Trinity Ln Ste 111 Bloomington IL 61704-8112 |
| Practice Telephone | 3096636461 |
| Practice Fax Number | 3096634529 |
| Mailing Telephone | 3096636461 |
| Mailing Fax Number | 3096634529 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 085007349 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1111 TRINITY LN STE 111 |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-8112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609875798 | Kimberly Kelleher Rhoda | Occupational Therapist | 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 | 2005-07-20 |
| 1063054278 | Nicholas Ray Von Holten | Physician Assistant | 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 | 2019-10-09 |
| 1134690522 | Matthew A Kresnicka | Physical Therapist | 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 | 2018-12-10 |
| 1871082826 | Jessica Amanda Tobias | Student in an Organized Health Care Education/Training Program | 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 | 2018-05-04 |
| 1164939179 | Lukas Dominic Manieri | Specialist/Technologist | 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 | 2017-12-29 |
| 1083124846 | Lucas B Roth | Physician Assistant | 1111 Trinity Ln Ste 111, Bloomington, IL 61704 | 2017-10-06 |
| 1467961706 | Sandra A Fader | Nurse Practitioner | 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 | 2017-09-28 |
| 1356732101 | Brian A Schrock | Physician Assistant | 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 | 2015-02-16 |
| 1144633579 | Ashley R Anderson | Physical Therapist | 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 | 2014-06-03 |
| 1801146444 | Jonathon C Crowley | Physical Therapist | 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 | 2012-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639631526 | Multiple Care of Mn, LLC | Orthopaedic Surgery | 8500 Normandale Lake Blvd Ste 350, Bloomington, MN 55437-3805 | 2019-04-01 |
| 1215046313 | Robert K Seidl | Orthopaedic Surgery | 2406 E. Empire St., Bloomington, IL 61704 | 2006-08-30 |
| 1376599506 | Brian P. Murphy | Orthopaedic Surgery | 3209 W Fullerton Pike Ste A, Bloomington, IN 47403-4060 | 2006-05-26 |
| 1285633420 | Joseph Kaysing Newcomer | Orthopaedic Surgery | 1111 Trinity Lane, Suite 111, Bloomington, IL 61704-3738 | 2005-07-19 |
| 1194245753 | Orthopaedics-indianapolis, Inc. | Orthopaedic Surgery | 3209 W Fullerton Pike Ste A, Bloomington, IN 47403-4060 | 2017-06-26 |
| 1649676404 | Stefan Turkula | Orthopaedic Surgery | 8100 Northland Dr, Bloomington, MN 55431 | 2014-11-06 |
| 1053759092 | Brandon Royce Hood | Orthopaedic Surgery | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2013-06-12 |
| 1669818548 | Jessica Brozek | Orthopaedic Surgery | 8100 Northland Dr, Bloomington, MN 55431 | 2013-05-17 |
| 1851640387 | St. Vincent Medical Group, Inc. | Orthopaedic Surgery | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2012-08-30 |
| 1679822100 | St. Vincent Medical Group, Inc. | Orthopaedic Surgery | 2201 W Sudbury Dr, Suite C, Bloomington, IN 47403-3811 | 2012-08-30 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.