Aaron Bertolo, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

TRN39152 Issued in FL

Practice address

17 Davis Blvd Ste 308
Tampa, FL 33606-3438

Phone

(813) 250-2506

Fax

(813) 974-5762

NPI assigned

Jun 23, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1164091179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 PASEO AL MAR BLVD APT 2141",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335721697",
            "telephone_number": "313-335-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 DAVIS BLVD STE 308",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063438",
            "telephone_number": "813-250-2506",
            "fax_number": "813-974-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLO",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "TRN39152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Jared Bertalan, CPO
• Benjamin Berthet, DO
• Tara Lee Bertic
• Jolene Bertloff, MLIS, EIPA 3.6
• Heather Marie Bertolero, APRN
• Marc-Cedar Bertrand, P.A.
• Lynette Berven, DC
• Ava Berzanski, PT
• Sarah Besaly
• Laura Besaw, ARNP

• Hematology & Oncology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.