Jennifer Jane Bermudez · Jennifer Jones · Psychiatry Physician

367 S. Gulph Rd, Att: Ipm Credentialing, King of Prussia, PA 19406-3121

Overview

Jennifer Jane Bermudez is a Psychiatry Physician practicing in Bradenton, Florida. The National Provider Identifier (NPI) is #1396775888, which was assigned on July 3, 2006, and the registration record was last updated on September 15, 2025. The practitioner's main practice location is at 206 2nd St E, Bradenton, FL 34208-1042; the contact telephone number is 9417465111, and the fax number is 9417457233. The primary taxonomy of Jennifer Jane Bermudez is Psychiatry Physician (2084P0800X), with specialization in Psychiatry. Jennifer Jane Bermudez is licensed to practice in the state of Connecticut (#69291).

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Provider Information

NPI 1396775888
Entity Type Individual
Provider Name JENNIFER JANE BERMUDEZ
Other Name JENNIFER JONES
(Former Name)
Gender Female
Credential MD
Practice Address 206 2nd St E
Bradenton
FL 34208-1042
Practice Telephone 9417465111
Practice Fax Number 9417457233
Mailing Address 367 S. Gulph Rd
Att: Ipm Credentialing
King of Prussia
PA 19406-3121
Mailing Telephone 7753569393
Mailing Fax Number 7753565590
Certification Date 2025-09-15
Enumeration Date 2006-07-03
Last Update Date 2025-09-15
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 2365406915
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name JENNIFER JANE BERMUDEZ
Medical School OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Primary Specialty PSYCHIATRY
Address 1717 Main St
Suite 5850
Dallas
TX 75201-4681

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N2084P0800XPsychiatry & NeurologyPsychiatry69291CT

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
53444FLBCBSOther
275481900FLMEDICAID

Secondary Practice Locations

AddressTelephoneFax
250 2nd St E, Bradenton, FL 34208102994170881529417088136
540 Litchfield St, Torrington, CT 0679066799724490540

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Jennifer Wood · Jennifer Jones 8801 Lyndhurst Pl, Orlando, FL 32836-5767Mental Health Counselor2012-07-07

Taxonomy Information

Primary Taxonomy

Code 2084P0800X
Taxonomy Psychiatry Physician
Classification Psychiatry & Neurology
Specialization Psychiatry
Grouping Allopathic & Osteopathic Physicians
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

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Provider NameAddressTaxonomyEnumeration Date
Anastasia Arnold 7303 Haggard Dr, Austin, TX 78745-4751Psychiatry Physician2026-02-04
Lind Psychiatry PLLC 2222 W Grand River Ave Ste A, Okemos, MI 48864-1604Psychiatry Physician2026-02-05
Ajesta Healthcare Services, PLLC 209 W Central St Ste 102, Natick, MA 01760-3716Psychiatry Physician2026-02-07
Psychiatric Urgent Care of Huntsville LLC 219 Longwood Dr Sw, Huntsville, AL 35801-5243Psychiatry Physician2026-02-04
Careplus Behavioral Health 14641 Gladebrook Dr Ste 2a, Houston, TX 77068-2807Psychiatry Physician2026-02-05
Neuro Pulse Solutions 72301 Country Club Dr Ste 104, Rancho Mirage, CA 92270-8007Psychiatry Physician2026-02-06
Lucy Dybisz 270 Waverly Ave Apt Sph3, Mamaroneck, NY 10543-1894Psychiatry Physician2026-02-07
Brossfield Medical Group PLLC 11656 Bearpaw Meadow Ave, Las Vegas, NV 89138-6287Psychiatry Physician2026-02-05
Mind's Eye Consulting LLC Dba Compelling Thoughts 44 Freeman Dr, Plymouth, MA 02360-6887Psychiatry Physician2026-02-04
Kingswood Psychiatry PLLC 447 Broadway Fl 2, New York, NY 10013-2562Psychiatry Physician2026-02-06
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Location Information

Street Address 367 S. GULPH RD
ATT: IPM CREDENTIALING
City KING OF PRUSSIA
State PA
Zip Code 19406-3121
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Foggy Bottom Hospital Physicians LLC 367 S Gulph Rd, King of Prussia, PA 19406-3121Surgery Physician2025-10-24
Foggy Bottom Physician Group Inc. 367 S Gulph Rd, King of Prussia, PA 19406-3121Multi-Specialty Clinic/Center2025-07-09
Foggy Bottom Primary Care Physicians LLC 367 S Gulph Rd, King of Prussia, PA 19406-3121Family Medicine Physician2025-10-24

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Refa Haj 20134 Valley Forge Cir, King of Prussia, PA 19406-1112Psychologist2024-05-21
Cody Lee Rathke 20134 Valley Forge Cir, King of Prussia, PA 19406-1112Psychologist2025-08-07
John P Van Dusen 20134 Valley Forge Cir, King of Prussia, PA 19406-1112Psychologist2019-03-12
Melanie Puzio 20134 Valley Forge Cir, King of Prussia, PA 19406-1112Clinical Psychologist2025-08-09
The Center, LLC 20134 Valley Forge Cir, King of Prussia, PA 19406-1112Registered Dietitian2007-05-02
Costco Wholesale Corporation 201 Allendale Rd, King of Prussia, PA 19406Community/Retail Pharmacy2006-08-30
Yiqing Miao Youngman 20134 Valley Forge Cir, King of Prussia, PA 19406-1112Psychologist2016-08-03
Katherine Talerico 20134 Valley Forge Cir, King of Prussia, PA 19406-1112Psychologist2024-05-22
Caroline Littlejohn 10112 Valley Forge Cir, King of Prussia, PA 19406-1111Periodontist2022-11-18
Aubrey Flanigan 20134 Valley Forge Cir, King of Prussia, PA 19406-1112Clinical Psychologist2022-09-28
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.