Bertram Caruthers Jr MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

R5307 Issued in MO

Legal business name

BERTRAM CARUTHERS JR MD PA

Practice address

1734 E 63Rd St
Suite 470
Kansas City, MO 64110-3543

Phone

(816) 333-6555

Fax

(816) 333-6564

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bertram Caruthers Jr., M.D.

Title

President

Phone

(816) 333-6555

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1386855757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 E 63RD ST",
            "address_2": "SUITE 470",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641103543",
            "telephone_number": "816-333-6555",
            "fax_number": "816-333-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 E 63RD ST",
            "address_2": "SUITE 470",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641103543",
            "telephone_number": "816-333-6555",
            "fax_number": "816-333-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTRAM CARUTHERS JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "CARUTHERS",
        "authorized_official_first_name": "BERTRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-333-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MO",
            "license": "R5307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kourtney Berry
• Merial Y Berry, LCSW, LSCSW
• Ray Alexander Berry, COTA
• Sarah Nicole Berry, PT, DPT
• Bertagnolli Medciation Services
• Michelle L. Bertuglia-Haley, MSW, LCSW
• Loren Besancon, R.D.
• Darcy Therese Besch, MS, RADC-P
• Veronica Besch, PLPC
• Laura Christine Beshaler, AU.D.

• Dermatology Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.