Kyle Matthew Bertrand in East Peoria - Diagnostic Radiology
Kyle Matthew Bertrand - NPI 1265698450
Kyle Matthew Bertrand is a Diagnostic Radiology in East Peoria, Illinois. Kyle Matthew Bertrand practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kyle Matthew Bertrand is 1265698450. The last update date is 2023-12-06.
Kyle Matthew Bertrand's current location address is 111 Oakwood Rd, East Peoria, Illinois. You can contact this provider via phone number 3097404272. The mailing address for Kyle Matthew Bertrand is 111 Oakwood Rd, East Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyle Matthew Bertrand |
|---|---|
| Address | 111 Oakwood Rd, East Peoria, Illinois |
| Phone Number | 3097404272 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1265698450 |
|---|---|
| Provider Enumeration Date | 2008-08-06 |
| Last Updated Date | 2023-12-06 |
Provider Mailing Address Detail
| Address | 111 Oakwood Rd |
|---|---|
| City | East Peoria |
| State | Illinois (IL) |
| Post Code | 616111853 |
| Phone Number | 3097404272 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 36.128062 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kyle Matthew Bertrand by the Centers for Medicare & Medicaid Services?
The Kyle Matthew Bertrand has been issued the NPI (National Provider Identifier) 1265698450 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kyle Matthew Bertrand's facilities are geographically located?
The facilities of Kyle Matthew Bertrand are physically situated at the following location: 111 Oakwood Rd, East Peoria, IL, 616111853.
What is Kyle Matthew Bertrand's area of expertise and its corresponding taxonomy classification?
The Kyle Matthew Bertrand's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.
On what date did Kyle Matthew Bertrand receive its 1265698450 assignment from the Centers for Medicare & Medicaid Services?
The Kyle Matthew Bertrand was assigned its 1265698450 on 2008-08-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kyle Matthew Bertrand last refreshed?
The information related to the Kyle Matthew Bertrand, including its address, specialty, and other relevant details, was last updated on 2023-12-06.