Drew Aaron Bertelson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6001182 Issued in WI

Practice address

3424 E Main St
Merrill, WI 54452-9001

Phone

(715) 536-7104

NPI assigned

Jun 14, 2023

Last updated

Jun 14, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1306520770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FULTON ST APT 301",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544033399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 E MAIN ST",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544529001",
            "telephone_number": "715-536-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTELSON",
        "first_name": "DREW",
        "middle_name": "AARON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6001182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Bahler, CPM
• Brenda J. Banaszynski, MD
• Julia Bant
• Eric D. Barnes, C.R.N.A.
• Rachel Bergman, MA LPC-IT
• Zoe Bertz, LPC-IT
• Jennifer Black, PAC
• Blue Jay Taxi LLC
• Bone & Joint Clinic S.C. (Bone & Joint Clinic S.C. @ Merrill)
• Katherine Michelle Breitenmoser, CNM LM

• Dentist in Merrill, WI
• Providers in Merrill, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.