Individual
JACOB E BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 LAUREL AVE # N304, KNOXVILLE, TN 37916-1810
(865) 595-4100
Mailing address
2001 LAUREL AVE # N304, KNOXVILLE, TN 37916-1810
(865) 595-4100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RL15850
ND
2085R0202X
Diagnostic Radiology Physician
036168192
IL
2085R0202X
Diagnostic Radiology Physician
Primary
74915
TN
Other
Enumeration date
06/28/2019
Last updated
01/29/2026
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