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Contact Information

DOMENIC BERMUDEZ, PA-C
7709 HOKE RD
ENGLEWOOD, OH45315-9725
 Phone: 937-809-2940
 Fax: 937-809-2941
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DOMENIC BERMUDEZ · (Male)

NPI # 1215454194
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/23/2017
Last updated 10/03/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • OH License # 50.005193RX
  • OH License # APP-000112838
  • OH Medicaid 0243891
  • OH Medicaid 0270942
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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