DR. CHRISTOPHER JOSEPH BERMUDEZ (NPI# 1578729190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578729190 |
Entity Type | Individual |
Full Name | DR. CHRISTOPHER JOSEPH BERMUDEZ |
Credential | MD |
Practice Address |
S68w15500 Janesville Rd Muskego WI 53150 |
Mailing Address |
S68w15500 Janesville Rd Muskego WI 53150-2613 |
Practice Telephone | 4144224000 |
Practice Fax Number | 4144224001 |
Mailing Telephone | 4144224000 |
Mailing Fax Number | 4144224001 |
Enumeration Date | 2008-08-03 |
Last Update Date | 2019-09-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 63151 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 100045884 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144690140 | Christopher G Bermudez | Physician Assistant | 1394 W 16th St, Yuma, AZ 85364-4430 | 2015-10-02 |
Street Address |
S68W15500 JANESVILLE RD |
City | MUSKEGO |
State | WI |
Zip Code | 53150 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619056587 | Deanne J Keim | Podiatrist | S68w15500 Janesville Rd, Muskego, WI 53150-2613 | 2006-11-03 |
1528515954 | Molly Yurk | Nurse Practitioner | S68w15500 Janesville Rd, Muskego, WI 53150-2613 | 2016-09-01 |
1164817961 | Patrick Daley | Family Medicine | S68w15500 Janesville Rd, Muskego, WI 53150-2613 | 2015-03-30 |
1689015554 | Trista Kleppin | Family Medicine | S68w15500 Janesville Rd, Muskego, WI 53150-2613 | 2013-07-08 |
1255683462 | Aurora Pharmacy Inc. | Pharmacy | S68w15500 Janesville Rd, Suite 100, Muskego, WI 53150-2613 | 2012-10-11 |
1922356252 | Lakeshore Medical Clinic, LLC | Durable Medical Equipment & Medical Supplies | S68w15500 Janesville Rd, Muskego, WI 53150-2613 | 2012-08-16 |
1033497953 | Diana L Rawson | Nurse Practitioner | S68w15500 Janesville Rd, Muskego, WI 53150-2613 | 2011-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003238213 | Forefront Dermatology, S.c. | Dermatology | S.69 W.15472 Janesville Road, Muskego, WI 53150 | 2014-01-08 |
1538590815 | Quirt Family Dentistry, Sc | Dentist | S69 W 15466 Janesville Rd, Muskego, WI 53150 | 2013-12-11 |
1093015273 | Angela Margaret Havaich | Registered Nurse | W189 S6940 Lembezeder Ct., Muskego, WI 53150 | 2010-10-22 |
1598073108 | Wal-mart Stores East Lp | Technician/Technologist | W159 S6530 Moorland, Muskego, WI 53150 | 2010-09-16 |
1477741585 | Lisa Jean Schneider | Audiologist | S64w13838 Jamesville Road, Muskego, WI 53150 | 2007-10-15 |
1134349210 | Quality Home Health Care Inc | Home Health | W125 S7554 Coventry Ln, Muskego, WI 53150 | 2007-04-30 |
1073631016 | Christine Joanne Schaefer | Physical Therapist | W12929 Mcshane Dr, Muskego, WI 53150 | 2007-03-27 |
1508922196 | Joan Marie Rasque | Licensed Practical Nurse | S70w17495 Forest Dr, Muskego, WI 53150 | 2006-12-28 |
1821153131 | Christopher Daniel Culligan | Chiropractor | S74 W16845 Janesville Rd., Muskego, WI 53150 | 2006-12-27 |
1306881594 | Muskego Nursing Home Inc. | Nursing Facility/Intermediate Care Facility | S. 77-w. 18690 Janesville Rd, Muskego, WI 53150 | 2006-06-19 |
Find all providers in zip 53150 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942388459 | Brian J Dudor | Family Medicine | S74 W16775 Janesville Road, Muskego, WI 53150-7742 | 2006-11-01 |
1164817961 | Patrick Daley | Family Medicine | S68w15500 Janesville Rd, Muskego, WI 53150-2613 | 2015-03-30 |
1689015554 | Trista Kleppin | Family Medicine | S68w15500 Janesville Rd, Muskego, WI 53150-2613 | 2013-07-08 |
1114068970 | Prohealth Care Medical Associates Inc | Family Medicine | S69w15636 Janesville Rd, Muskego, WI 53150-9330 | 2007-02-12 |
1891874764 | Darin A Maccoux | Family Medicine | S74 W16775 Janesville Road, Lakeshore Medical Clinic, Muskego, WI 53150-7742 | 2006-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104426477 | St Gianna Molla Clinic, Inc | Family Medicine | 20 Pinewild Ct, Appleton, WI 54913-7127 | 2020-10-27 |
1962015552 | Callie Lund | Family Medicine | 418 Lotus St, Mosinee, WI 54455-1728 | 2020-08-25 |
1275159998 | Beam Healthcare, Sc | Family Medicine | 25 W Main St Fl 5, Madison, WI 53703-3399 | 2020-06-18 |
1487283503 | Enitza Damaris George | Family Medicine | 1906 Brackett Ave, Eau Claire, WI 54701-5042 | 2020-04-02 |
1093341380 | Tia Marie Vaccaro | Family Medicine | 1275 Judd Rd, Oregon, WI 53575-2573 | 2020-03-18 |
1134753411 | Proactive Md Sc,p.a. | Family Medicine | Brakebush Health Center, N4993 6th Dr., Westfield, WI 53964 | 2020-02-26 |
1790323608 | Solidaritus Health Wisconsin Sc | Family Medicine | 1476 Blazing Star Blvd Ste 4, Altoona, WI 54720-4002 | 2019-12-11 |
1255974952 | Integrative Health Center of Central Wisconsin LLC | Family Medicine | 3205 E Washington Ave Ste A, Madison, WI 53704-4332 | 2019-10-25 |
1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
1942767298 | Paladina Health, LLC | Family Medicine | Paladina Health Sussex Beer Capitol Clinic, W222 N5700 Miller Way, Sussex, WI 53069 | 2019-02-22 |
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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.