Nicholas John Bertone, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

207 Worcester St Apt 2
North Grafton, MA 01536-1266

Phone

(413) 758-5015

NPI assigned

Jun 18, 2017

Last updated

Sep 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1184154593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 WORCESTER ST APT 2",
            "city": "NORTH GRAFTON",
            "state": "MA",
            "postal_code": "015361266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 WORCESTER ST APT 2",
            "city": "NORTH GRAFTON",
            "state": "MA",
            "postal_code": "015361266",
            "telephone_number": "413-758-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTONE",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Bard
• Christopher Barney
• Megan Bellerose
• Kevin James Bellino, PHARMACIST
• Eric Robert Benson, PHD
• Tracey Lynn Blum, RPH
• Steve Bracero
• Paul J Bradley, MD
• Arlene Diliddo Bragg, LICSW
• Ashley Brank

• Athletic Trainer in North Grafton, MA
• Providers in North Grafton, MA by specialty
• Athletic Trainer in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.