Active NPI
Laura Anne Bertrand, M.D.
- Urology Physician
- Newport, KY
National Provider Identifier
1104997238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 50179
- Practice address
- 1400 Grand Ave
Newport, KY 41071-2570 - Phone
- (859) 757-2141
- Fax
- (859) 441-1348
- NPI assigned
- Nov 12, 2006
- Last updated
- Apr 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 50179 | KY | Primary |
Addresses
Primary practice location
1400 Grand Ave
Newport, KY 41071-2570
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 212-0497
Other practice location 1
7370 Turfway Rd
Florence, KY 41042-4895
Phone (859) 212-0497
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0232170 | Medicaid | OH | |
| 7100490940 | Medicaid | KY | |
| 300009058 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555977600000",
"number": "1104997238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635283",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "859-212-0497",
"fax_number": "859-282-1141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 GRAND AVE",
"city": "NEWPORT",
"state": "KY",
"postal_code": "410712570",
"telephone_number": "859-757-2141",
"fax_number": "859-441-1348"
}
],
"practiceLocations": [
{
"address_1": "7370 Turfway Rd",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "KY",
"postal_code": "410424895",
"country_code": "US",
"telephone_number": "859-212-0497",
"fax_number": "859-212-1141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERTRAND",
"first_name": "LAURA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-12",
"last_updated": "2019-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "KY",
"license": "50179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0232170",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100490940",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300009058",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.