Bradley Alan Bertram, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

030011 Issued in GA

Practice address

1330 Interstate Pkwy
Augusta, GA 30909-5625

Phone

(706) 651-2020

Fax

(706) 855-6674

NPI assigned

Dec 13, 2006

Last updated

May 28, 2015By 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 identifiers 5

Medicare fee-for-service enrollment

Enrolled in GA

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

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bbertram@eyeguys.emadirect.md

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.

• Eye Physicians and Surgeons of Augusta, PC

  dba Eye Guys

  • Ophthalmology Physician
  • Augusta, GA
  • NPI 1386705069
  Medicare reassignment NPD Authorized official
• Eye Physicians and Surgeons of Augusta, PC

  dba Eye Guys- Aiken

  • Ophthalmology Physician
  • Aiken, SC
  • NPI 1316593759
  NPD Authorized official
• Eyeguys Ods, LLC

  • Optometrist
  • Augusta, GA
  • NPI 1457720153
  NPD
• Eye Guys Carolina LLC

  • Eyewear Supplier
  • Aiken, SC
  • NPI 1881305852
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1184785008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 INTERSTATE PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095625",
            "telephone_number": "706-651-2020",
            "fax_number": "706-855-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 INTERSTATE PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095625",
            "telephone_number": "706-651-2020",
            "fax_number": "706-855-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTRAM",
        "first_name": "BRADLEY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "030011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4363115",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF GEORGIA",
            "identifier": "768090",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "18BDFMJ",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1977325",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000389958E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Eric Berman, M.D.
• Brent Michael Bermingham, MD
• Mohamed Berra, MD
• Michelle Elaine Berres, LPN
• Courtney M Berry, M.ED.
• Styles Leslie Bertrand, MD
• Rosalee C. Bertucci, RNC,NNP
• Robert Besch, MD, MHS
• Conner Best
• Monique Lilmarcia Bethel, M.D.

• Ophthalmology Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.