Robert L. Bertram in Russell Springs - Internal Medicine

Robert L. Bertram - NPI 1417008756

Robert L. Bertram is a Internal Medicine in Russell Springs, Kentucky. Robert L. Bertram practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Robert L. Bertram is 1417008756. The last update date is 2015-06-05.

Robert L. Bertram's current location address is 92 Joe T Petty Dr, Russell Springs, Kentucky. You can contact this provider via phone number 2708668881 and fax number 2708668849. The mailing address for Robert L. Bertram is 92 Joe T Petty Dr, Russell Springs, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert L. Bertram
Address 92 Joe T Petty Dr, Russell Springs, Kentucky
Phone Number 2708668881
Fax Number 2708668849
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1417008756
Provider Enumeration Date 2007-01-15
Last Updated Date 2015-06-05

Provider Mailing Address Detail

Address 92 Joe T Petty Dr
City Russell Springs
State Kentucky (KY)
Post Code 426428544
Phone Number 2708668881
Fax Number 2708668849

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 2506
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
608475500 KY BLACK LUNG
64586 KY ANTHEM
110185245 KY RAILROAD MEDICARE
64025067 KY --

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FAQs about Robert L. Bertram

What is the unique identifier code issued to Robert L. Bertram by the Centers for Medicare & Medicaid Services (CMS)?

The Robert L. Bertram has been assigned the NPI (National Provider Identifier) 1417008756. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Robert L. Bertram is physically located?

The Robert L. Bertram is situated at the following address: 92 Joe T Petty Dr, Russell Springs, KY 426428544.

What is Robert L. Bertram's specialized field of practice, and what is the corresponding taxonomy classification code?

The Robert L. Bertram's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

When was the Robert L. Bertram's 1417008756 issued?

The Robert L. Bertram's 1417008756 was issued on 2007-01-15.

When was the information regarding Robert L. Bertram, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Robert L. Bertram, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-06-05.

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