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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1669056545

Phillip Bermudez, PMHNP-BC is a Nurse Practitioner in Huntington, West Virginia. Qualified in 2020, 6 years ago. Practices with Grandw Inc, a 90-clinician group, accepts Medicare assignment and offers telehealth. Licensed in West Virginia.

Years since qualifying
6
Licensed in
WV
In the registry since
2021
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

55 Donohoe Dr
Huntington, WV 25705-8887
Phone: (304) 525-7851
Fax: (304) 525-1073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 108121 (WV)

Record details

NPI number1669056545
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedMay 7, 2021
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Grandw Inc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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