RENE BERMUDEZ, DO — NPI 1003895004 (Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) in WHITEVILLE, NC)

CMS-1500 Box 24J / 33a • NPI

1003895004

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207ND0101X (CMS 07)

Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)

Box 32 Service Location & ZIP+4

720 JEFFERSON ST, WHITEVILLE, NC, 28472-3706

✓ 9-Digit EDI 837 ZIP+4 (28472-3706)

Practice Phone & Referral Fax

(910) 251-9944

Fax: (910) 763-4666

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1003895004 (RENE BERMUDEZ, DO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1003895004` (NPI-1 Individual Practitioner)
Provider / Legal Name	RENE BERMUDEZ, DO
Plain-English Specialty	Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) NUCC Code: `207ND0101X` (Dermatology, MOHS-Micrographic Surgery)
Certifying / Licensing Body	American Board of Dermatology (ABD)
Practice Location Address	720 JEFFERSON ST, WHITEVILLE, NC, 28472-3706
Practice Telephone / Fax	Tel: (910) 251-9944 \| Fax: (910) 763-4666
Administrative Mailing Address	1099 MEDICAL CENTER DR STE 201, WILMINGTON, NC, 28401-7346
Enumeration & Last Sync	Enumerated: 2006-01-10 \| CMS Record Updated: 2026-02-02

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

720 JEFFERSON ST, WHITEVILLE, NC, 28472-3706

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Plain-English Taxonomy & CMS Crosswalk (207ND0101X)

What Does Taxonomy Code 207ND0101X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207ND0101X translates to:
"Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 07 (Physician/Dermatology) • CMS Code D7 (Micrographic Dermatologic Surgery)
Certifying / Accrediting Authority: American Board of Dermatology (ABD)
Clinical Scope: Changing moles, skin rashes, severe acne, eczema, psoriasis, fungal infections, hair loss, or skin cancer checks.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (RENE BERMUDEZ, DO)

Typical CPT / Diagnostic Procedures:

Full-Body Dermoscopy & Skin Cancer Screening
Shave, Punch & Excisional Skin Biopsy (CPT 11102–11107)
Cryotherapy Destruction of Actinic Keratoses & Viral Warts (CPT 17000)

Common Therapeutic Classes:

Topical Corticosteroids (Triamcinolone, Clobetasol) & Calcineurin Inhibitors
Topical & Oral Retinoids (Tretinoin, Adapalene, Isotretinoin)
Doxycycline, Minocycline & Antifungals (Terbinafine, Ketoconazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207N00000X` — Dermatology Plain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)	State: NC \| License: `2005-00626` \| Primary: Secondary
`207ND0101X` — Dermatology, MOHS-Micrographic Surgery Plain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)	State: NC \| License: `2005-00626` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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RENE BERMUDEZ, DO (NPI #1003895004)