Stefano Michele Bertozzi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G75771 Issued in CA

Practice address

316 Lake Washington Blvd S
Seattle, WA 98144-2553

Phone

(206) 402-5871

NPI assigned

Nov 13, 2011

Last updated

Nov 13, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1321142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321142400000",
    "number": "1457638835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 LAKE WASHINGTON BLVD S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442553",
            "telephone_number": "206-402-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 LAKE WASHINGTON BLVD S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442553",
            "telephone_number": "206-402-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOZZI",
        "first_name": "STEFANO",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-13",
        "last_updated": "2011-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G75771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verie May Bertoglio, LPTA
• Madison Bertolin
• Sierra Bertolone-Smith
• Aaron Moens Bertoni, M.D.
• Sheila E Bertoso, MD
• Molly Rebecca Wilkinson Bertsch, LMSW
• Brian T. Bertsche, MD
• Barbara A Bertucio, PT
• Donna L Berube, RNFA
• Mary Margaret Berube, EAMP

• Internal Medicine Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2011; 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.