Healthcare Provider Details

I. General information

NPI: 1962618165
Provider Name (Legal Business Name): BERMISA AND BERMISA, MD, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 AMERICAN LEGION RD
CHESAPEAKE VA
23321-5602
US

IV. Provider business mailing address

110 AMERICAN LEGION RD
CHESAPEAKE VA
23321-5602
US

V. Phone/Fax

Practice location:
  • Phone: 757-673-6801
  • Fax: 757-673-6808
Mailing address:
  • Phone: 757-673-6801
  • Fax: 757-673-6808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ARTHUR V BERMISA
Title or Position: PARTNER
Credential: M.D.
Phone: 757-673-6801