Organization Active NPI

Vincent J. Bertin, M.D., Inc

  • Vascular Surgery Physician
  • Cleveland, OH
National Provider Identifier
1275655185
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
045524 Issued in OH
Legal business name
VINCENT J. BERTIN, M.D., INC
Practice address
18660 Bagley Rd
Phase II, Suite 201
Cleveland, OH 44130-3483
Phone
(440) 243-0100
Fax
(440) 243-7118
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Mrs. Patricia B Sepic
Title
Office Manager
Phone
(440) 243-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 045524 OH Primary

Addresses

Primary practice location

18660 Bagley Rd
Phase II, Suite 201
Cleveland, OH 44130-3483

Mailing address

18660 Bagley Rd
Phase II, Suite 201
Cleveland, OH 44130-3483
Phone (440) 243-0100

National Provider Directory

National Provider Directory

Locations

18660 Bagley Rd
#201
Middleburg Heights, OH 44130
Phone (440) 243-0100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1275655185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY RD",
            "address_2": "PHASE II, SUITE 201",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303483",
            "telephone_number": "440-243-0100",
            "fax_number": "440-243-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY RD",
            "address_2": "PHASE II, SUITE 201",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303483",
            "telephone_number": "440-243-0100",
            "fax_number": "440-243-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT J. BERTIN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "SEPIC",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-243-0100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "045524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.