Provider Demographics
NPI:1235183047
Name:BERMAS, BONNIE LEE (MD)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:LEE
Last Name:BERMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 845347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-7208
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UTSW DIVISION OF RHEUMATIC DISEASES 2001 INWOOD ROAD
Practice Address - Street 2:8TH FLOOR SUITE C
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75284-7208
Practice Address - Country:US
Practice Address - Phone:142-645-2800
Practice Address - Fax:214-645-2855
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA78268207RR0500X
TXR3474207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology