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

Johnathan Frederick Bermudez, PA-C

Individual provider Physician Assistant · NPI 1720326754

Johnathan Frederick Bermudez, PA-C is a Physician Assistant in Columbia, Maryland. Licensed in Maryland and Virginia. Registered with an NPI since 2013.

Licensed in
MD, VA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5755 Cedar Ln
Columbia, MD 21044-2912
Phone: (410) 740-7890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C0005355 (MD)
Physician Assistant Taxonomy 363A00000X · Licence 0110004123 (VA)

Record details

NPI number1720326754
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 25, 2013
Last updated in NPPESJuly 8, 2015

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