Individual provider Active NPI

Bertram Henry, MSN, APRN, FNP-BC,

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1245125657
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11039952 Issued in VA
Practice address
1051 Care Way
Fredericksburg, VA 22401-8425
Phone
(540) 374-3131
Fax
(540) 374-3134
NPI assigned
Jun 9, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 11039952 VA Primary

Addresses

Primary practice location

1051 Care Way
Fredericksburg, VA 22401-8425

Mailing address

1051 Care Way
Fredericksburg, VA 22401-8425
Phone (540) 374-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260625001523 VA Practitioner - Nurse Practitioner 3678046299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Associates of Fredericksburg, PCGroup PAC ID 0345343927, 12 clinicians

Practice addresses (Care Compare)

1051 Care Way
Fredericksburg, VA 22401-8425
Phone (540) 374-3131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
11039952FLMDFamily Nurse Practitioner

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1245125657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 CARE WAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018425",
            "telephone_number": "540-374-3131",
            "fax_number": "540-374-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 CARE WAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018425",
            "telephone_number": "540-374-3131",
            "fax_number": "540-374-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "BERTRAM",
        "name_prefix": "Mr.",
        "credential": "MSN, APRN, FNP-BC,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-09",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "11039952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.