Robert Nelson Bertoldo, DO

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

License

7376667-1204 Issued in UT

Practice address

4401 Harrison Blvd Ste 1885
Ogden, UT 84403-3195

Phone

(801) 387-4870

Fax

(801) 387-4875

NPI assigned

Feb 28, 2006

Last updated

Nov 7, 2018By 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 4

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154
  Medicare reassignment NPD
• Texas Wound Care and Preventive Medicine, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1982775219
  NPD (past) Authorized official
• Ihc Health Services Inc

  dba KidsCare at Bountiful

  • Pediatrics Physician
  • Bountiful, UT
  • NPI 1750416947
  NPD
• Ihc Health Services, Inc.

  dba St George Adolescent Partial Hospitalization

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD
• Encompass Health Rehabilitation Hospital of Las Vegas, LLC

  dba Encompass Health Rehabilitation Hospital of Las Vegas

  • Rehabilitation Hospital
  • Las Vegas, NV
  • NPI 1063486710
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1275509176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 HARRISON BLVD STE 1885",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033195",
            "telephone_number": "801-387-4870",
            "fax_number": "801-387-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLDO",
        "first_name": "ROBERT",
        "middle_name": "NELSON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K6988",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "TX",
            "license": "K6988",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "K6988",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "UT",
            "license": "7376667-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Nicole Berry
• Edward Berry, M.D.
• Julie Lin Berry, M.D.
• Belinda Berryhill, CSW
• Shayden James Bertagnolli, M.S. LMFT
• Tracy Steven Bessinger
• Better Balance Psychiatry PLLC
• Bryce Bexell
• Brigette Beyer, PA-C
• Nicole Bianco, RD

• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.