Organization Active NPI

Bertram D Kaplan MD PLLC

  • Dermatology Physician
  • Memphis, TN
National Provider Identifier
1023410941
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
C-5355 Issued in AR
Legal business name
BERTRAM D KAPLAN MD PLLC
Practice address
6401 Poplar Ave Ste 405
Memphis, TN 38119-4840
Phone
(901) 754-6362
Fax
(901) 681-4208
NPI assigned
Sep 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bertram D Kaplan, M.D.NPI 1548238348
Title
Owner/Provider
Phone
(870) 735-6430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X C-5355 AR Primary

Addresses

Primary practice location

6401 Poplar Ave Ste 405
Memphis, TN 38119-4840

Mailing address

6401 Poplar Ave Ste 405
Memphis, TN 38119-4840
Phone (901) 754-6362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141219000522 TN Part B Supplier - Clinic/Group Practice 2860715075 Receives reassigned benefits from 1 practitioner
Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Locations

200 S Rhodes St
Ste G
West Memphis, AR 72301
Phone (870) 735-6430

6401 Poplar Ave
Ste 405
Memphis, TN 38119
Phone (901) 754-6362

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1023410941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 POPLAR AVE STE 405",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194840",
            "telephone_number": "901-754-6362",
            "fax_number": "901-681-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 POPLAR AVE STE 405",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194840",
            "telephone_number": "901-754-6362",
            "fax_number": "901-681-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTRAM D KAPLAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "BERTRAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "870-735-6430",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "AR",
            "license": "C-5355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.