Individual provider Active NPI

Bertrand P Cole, DO

  • Addiction Medicine (Preventive Medicine) Physician
  • Somersworth, NH
National Provider Identifier
1184618852
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
9985 Issued in NH
Practice address
255 Route 108
Somersworth, NH 03878-1543
Phone
(603) 692-3166
Fax
(603) 692-3168
NPI assigned
Sep 8, 2005
Last updated
Apr 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9985 NH
Addiction Medicine (Family Medicine) Physician 207QA0401X 9985 NH
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 9985 NH Primary

Addresses

Primary practice location

255 Route 108
Somersworth, NH 03878-1543

Mailing address

255 Route 108
Somersworth, NH 03878-1543
Phone (603) 692-3166

Other practice location 1

22 Bridge St Ste 2
Concord, NH 03301-4987
Phone (603) 415-0330

Other practice location 2

2299 Woodbury Ave
Newington, NH 03801-7854
Phone (603) 766-8660

Other identifiers 1

IdentifierTypeStateIssuer
3075320MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bertrand.cole.1@21697.direct.athenahealth.com Direct PMC Medical Group, LLC

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20060206000451 NH Practitioner - Family PracticePractitioner - Addiction Medicine 5698789022

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.75 of 100Reported as group
Quality
76.36
Promoting interoperability
100
Improvement activities
40
Cost
71.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
9985NHMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Appledore Medical Group, Inc Family Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1184618852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 ROUTE 108",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781543",
            "telephone_number": "603-692-3166",
            "fax_number": "603-692-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ROUTE 108",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781543",
            "telephone_number": "603-692-3166",
            "fax_number": "603-692-3168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bridge St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033014987",
            "country_code": "US",
            "telephone_number": "603-415-0330",
            "fax_number": "603-415-0332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2299 Woodbury Ave",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "NH",
            "postal_code": "038017854",
            "country_code": "US",
            "telephone_number": "603-766-8660",
            "fax_number": "603-766-8661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "BERTRAND",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "9985",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NH",
            "license": "9985",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NH",
            "license": "9985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075320",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bertrand.cole.1@21697.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "EHR direct message inbox",
            "affiliationName": "PMC Medical Group, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7 Works Way",
            "city": "Somersworth",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038781639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Somersworth, NH

Sources for this page

Verify at the official NPI Registry.