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Contact Information

BRANT A BERMUDEZ, OTR/L,CHT
8220 LOUISIANA BLVD NE
SUITE D
ALBUQUERQUE, NM87113-2105
 Phone: 505-724-4300
 Fax: 505-724-4384
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Hand

225XH1200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BRANT A BERMUDEZ · (Male)

NPI Number 1649268988
Status Active
Credentials OTR/L,CHT
Entity Individual
Enumeration date 10/11/2005
Last updated 04/29/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 2597
  • NM License # 2411
  • AZ Medicaid 889884
  • NM Medicaid 71781722
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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