Active NPIIndividual provider

Alexander Bermudez

Nurse Practitioner, Psych/Mental Health in Ellington, Connecticut

NPI Number1013872571
Practice location
46 Burbank RD, Ellington, CT 06029-2832
Fax
—
Last updated
December 24, 2025

Alexander Bermudez is a Nurse Practitioner, Psych/Mental Health based in Ellington, CT. Alexander Bermudez practices in Ellington, CT. The NPI Number for Alexander Bermudez is 1013872571 and holds a License No. 175023 (CT). The current practice location address for Alexander Bermudez is 46 Burbank RD, Ellington, CT 06029-2832 and can be reached out via phone at 860-830-9359.

Provider Profile Details

NPI Number
1013872571
Provider Name
Alexander Bermudez
Provider Entity Type
Individual
Gender
Male
Address
46 Burbank RD, Ellington, CT 06029-2832
Phone Number
860-830-9359
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
December 17, 2025
Last Update Date
December 24, 2025
Certification Date
December 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
46 Burbank RD
Ellington, CT 06029-2832
Zip
06029-2832
Phone Number
860-830-9359
Ellington, CT 06029Get directions →

Provider Business Mailing Address Details

Address
46 Burbank RD
Ellington, CT 06029-2832
City
Ellington
State
CT
Zip
06029-2832
Phone Number
860-830-9359

License Information

License Number (1)
175023
License State (1)
CT
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
16097
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alexander Bermudez?

The NPI number of Alexander Bermudez is 1013872571. It was assigned on December 17, 2025 and is currently active in the NPPES registry.

What is the specialty of Alexander Bermudez?

Alexander Bermudez is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 175023.

Where does Alexander Bermudez practice?

The practice location is 46 Burbank RD, Ellington, CT 06029-2832. The office can be reached at 860-830-9359 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013872571 directly on the NPPES registry website.

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