Individual provider Active NPI

Joseph D Bertrand, CRNA

  • Certified Registered Nurse Anesthetist
  • Boston, MA
National Provider Identifier
1437428935
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2275665 Issued in MA
Practice address
330 Brookline Ave Dept of
Boston, MA 02215-5491
Phone
(617) 667-3110
Fax
(617) 667-5013
NPI assigned
Dec 29, 2011
Last updated
May 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2275665 MA Primary

Addresses

Primary practice location

330 Brookline Ave Dept of
Boston, MA 02215-5491

Mailing address

330 Brookline Ave Dept of
Boston, MA 02215-5491
Phone (617) 667-3110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120402000166 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284894023 Reassigns benefits to 7 organizations
I20170519001233 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284894023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gbaa Holdings PLLCGroup PAC ID 4789944646, 22 clinicians
Dha Endoscopy LLCGroup PAC ID 4082614979, shared by 2 NPIs, 19 clinicians

Practice addresses (Care Compare)

45 A Discovery Way
Acton, MA 01720-4482
Phone (617) 936-7683

91 Montvale Ave
Suite 103
Stoneham, MA 02180-3649
Phone (781) 835-2111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
2275665MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince May 19, 2019 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Current Accepting new patients
Tri Anesthesia LLC CurrentSince Apr 1, 2025 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince May 19, 2019 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince May 28, 2019 Accepting new patients
Icon Anesthesia Services of New England LLC CurrentSince Jan 22, 2025 Accepting new patients
Dha Endoscopy LLC CurrentSince May 4, 2020 Accepting new patients
Gbaa Holdings, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 30, 2018 Accepting new patients
Dha Endoscopy LLC CurrentSince May 4, 2020 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince May 28, 2019 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince May 15, 2017 Accepting new patients

Locations

1125 Marguerite St
Morgan City, LA 70380
Phone (985) 380-4434

1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225

45 Discovery Way
#A
Acton, MA 01720
Phone (617) 936-7683

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054

105 Erdman Way
Leominster, MA 01453
Phone (978) 466-7800

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100

91 Montvale Ave
Ste 103
Stoneham, MA 02180
Phone (781) 835-2111

175 Worcester St
Wellesley Hls, MA 02481
Phone (617) 272-0004

300 Grove St
Worcester, MA 01605
Phone (508) 754-0700

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1437428935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE DEPT OF",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155491",
            "telephone_number": "617-667-3110",
            "fax_number": "617-667-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE DEPT OF",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155491",
            "telephone_number": "617-667-3110",
            "fax_number": "617-667-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTRAND",
        "first_name": "JOSEPH",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-29",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "2275665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.