Joseph Michael Bertroche, D.O.,J.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

02693 Issued in IA

Practice address

4622 Progress Dr
Suite a
Davenport, IA 52807-3426

Phone

(563) 742-5800

Fax

(563) 742-5810

NPI assigned

May 18, 2006

Last updated

Mar 20, 2017By the provider in NPPES

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

Other names 1

• J. Michael Bertroche Other name

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Psychiatry

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Robert Young Center for Community Mental HealthGroup PAC ID 4587600150, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Juris Doctor

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbertroche92101@direct.unitypoint.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Robert Young Center for Community Mental Health

  • Mental Health Counselor
  • Rock Island, IL
  • NPI 1972272516

  IA, Psychiatry

  Medicare reassignment Care Compare group NPD
• Trinity Medical Center

  • Psychiatry Physician
  • Rock Island, IL
  • NPI 1033163829

  IA

  Medicare reassignment NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• The Robert Young Center for Community Mental Health

  dba Robert Young Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Muscatine, IA
  • NPI 1063224426
  NPD
• Trinity Medical Center

  • Emergency Medicine Physician
  • Rock Island, IL
  • NPI 1568414134
  NPD
• Vera French Community Mental Health

  dba Vera French Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Davenport, IA
  • NPI 1245291129
  NPD (past)
• Vera French Community Mental Health

  dba Vera French Clinic at Duck Creek

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bettendorf, IA
  • NPI 1568239978
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1174576169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4622 PROGRESS DR",
            "address_2": "SUITE A",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073426",
            "telephone_number": "563-742-5800",
            "fax_number": "563-742-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4622 PROGRESS DR",
            "address_2": "SUITE A",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073426",
            "telephone_number": "563-742-5800",
            "fax_number": "563-742-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTROCHE",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.,J.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "02693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J.",
            "last_name": "BERTROCHE",
            "middle_name": "MICHAEL",
            "credential": "D.O.,J.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joseph Edward Bergstrom Sr., DO
• Andrew E Berkow, M.D.
• Adam D Berneking, MD
• David Nils Bernstrom II, LMSW
• Preston Eugene Berry, IADC & CRADC
• Jacklyn Marie Besch, ARNP-FNP
• Katherine Vandenburgh Besser, RDN LDN
• Best Home Care
• Best Home Health Care
• Best Home Health Care of the QC Inc.

• Psychiatry Physician in Davenport, IA
• Providers in Davenport, IA by specialty
• Psychiatry Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.