IndividualActive
Elliott Bermudez-Colon, DDS
NPI 1215032057 · Periodontics · Fort Sam Houston, TX
Provider details
- NPI number
- 1215032057
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 2118 (PR)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2940 Stanley Rd Ste 2375
Fort Sam Houston, TX 78234-2740
Phone: (210) 295-4595
Approximate (ZIP-level) locationGet directions
Mailing address
8322 Mojave Rd
San Antonio, TX 78254-2139
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2023-05-05
- Certified
- 2023-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.