Individual provider Active NPI

Abigail Bertalan, VMD

  • Veterinarian
  • Philadelphia, PA
National Provider Identifier
1215367339
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
BV012483 Issued in PA
Practice address
3900 Delancey St
2025 MJR-Vhup
Philadelphia, PA 19104-5052
Phone
(215) 746-7999
NPI assigned
Nov 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X BV012483 PA Primary

Addresses

Primary practice location

3900 Delancey St
2025 MJR-Vhup
Philadelphia, PA 19104-5052

Mailing address

4029 Walnut St
Apt 6
Philadelphia, PA 19104-3569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BV012483PAMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1215367339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 WALNUT ST",
            "address_2": "APT 6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 DELANCEY ST",
            "address_2": "2025 MJR-VHUP",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045052",
            "telephone_number": "215-746-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTALAN",
        "first_name": "ABIGAIL",
        "name_prefix": "Dr.",
        "credential": "VMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "PA",
            "license": "BV012483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.