Organization Active NPI

Michele L Bertelle DPM, LLC

  • Foot & Ankle Surgery Podiatrist
  • West Palm Beach, FL
National Provider Identifier
1497192116
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 3527 Issued in FL
Legal business name
MICHELE L BERTELLE DPM, LLC
Practice address
6463 Paradise CV
West Palm Beach, FL 33411-6462
Phone
(786) 514-9493
Fax
(786) 364-1580
NPI assigned
Jun 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Dr. Michele Lynn Bertelle, D.P.M
Title
Owner
Phone
(786) 514-9493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO 3527 FL Primary

Addresses

Primary practice location

6463 Paradise CV
West Palm Beach, FL 33411-6462

Mailing address

6463 Paradise CV
West Palm Beach, FL 33411-6462
Phone (786) 514-9493

National Provider Directory

National Provider Directory

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": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1497192116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6463 PARADISE CV",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334116462",
            "telephone_number": "786-514-9493",
            "fax_number": "786-364-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6463 PARADISE CV",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334116462",
            "telephone_number": "786-514-9493",
            "fax_number": "786-364-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE L BERTELLE DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "BERTELLE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-514-9493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 3527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.