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NPI Code Detail

MEDICARE: RENE BERMUDEZ DO

MEDICARE: RENE BERMUDEZ DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician2005-00626NC
2207ND0101XMOHS-Micrographic Surgery Physician2005-00626NC

General Provider Information

NPI Number : 1003895004
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENE BERMUDEZ DO
Provider Business Mailing Address
First Line : 1099 MEDICAL CENTER DR STE 201
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7346
Country : US
Telephone Number : 910-251-9944
Fax Number : 910-763-4666
Provider Business Practice Location Address
First Line : 720 JEFFERSON ST
Second Line :
City : WHITEVILLE
State : NC
Zip : 28472-3706
Country : US
Telephone Number : 910-251-9944
Fax Number : 910-763-4666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2006
Last Update Date : 02/02/2026

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Directions to “ RENE BERMUDEZ DO” Practice Location

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