Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob E Bermudez, MD

Individual provider Diagnostic Radiology Physician · NPI 1679134761

Jacob E Bermudez, MD is a Diagnostic Radiology in Knoxville, Tennessee. Graduated from University of Minnesota Medical School in 2018, 8 years ago. Practices with Vista Radiology, PC, a 67-clinician group and accepts Medicare assignment. Licensed in North Dakota and Tennessee.

Years since qualifying
8
Trained at
University of Minnesota Medical School
Licensed in
ND, TN
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2001 Laurel Ave # N304
Knoxville, TN 37916-1810
Phone: (865) 595-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 74915 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence RL15850 (ND)

Record details

NPI number1679134761
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2019
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address2001 Laurel Ave # N304, Knoxville, TN 37916-1810

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2018 (8 years in practice)
Group practice Vista Radiology, Pc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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