Active NPI
Bertram Spetzler, MD
- Orthopaedic Surgery Physician
- Salem, VA
National Provider Identifier
1225009293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0101032045
- Practice address
- 1802 Braeburn Dr
Salem, VA 24153-7357 - Phone
- (540) 772-3530
- Fax
- (540) 776-2036
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0101032045 | VA | Primary |
Addresses
Primary practice location
1802 Braeburn Dr
Salem, VA 24153-7357
Mailing address
1802 Braeburn Dr
Salem, VA 24153-7357
Phone (540) 772-3530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00277088 | Other | VA | MEDICARE RAILROAD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101032045 | VA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1225009293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 BRAEBURN DR",
"city": "SALEM",
"state": "VA",
"postal_code": "241537357",
"telephone_number": "540-772-3530",
"fax_number": "540-776-2036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 BRAEBURN DR",
"city": "SALEM",
"state": "VA",
"postal_code": "241537357",
"telephone_number": "540-772-3530",
"fax_number": "540-776-2036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPETZLER",
"first_name": "BERTRAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0101032045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00277088",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, VA
- Theresa Elaine Sowers, LCSW
- Vera Walker Sparrow
- Matthew Speliotis, BCBA
- Megan F. Spence, LCSW
- Rita Layla Spencer, PHARM.D.
- Spinal Care and Wellness Center
- Maggie Beehner Spracher, P.A.
- Spring Ridge Consultation Services, P.C.
- Springhealth Behavioral Health and Integrated Care Virginia, LLC
- Grant McKinley Sprinkle, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.