Active NPI
Paul B Bertram, APRN
- Acute Care Nurse Practitioner
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 38904
- Practice address
- 2525 Desales Ave
Chattanooga, TN 37404-1161 - Phone
- (423) 495-2525
- NPI assigned
- May 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | NP004038 | GA | |
| Acute Care Nurse Practitioner | 363LA2100X | 38904 | TN | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 3015953 | KY |
Addresses
Primary practice location
2525 Desales Ave
Chattanooga, TN 37404-1161
Mailing address
PO Box 80426
Chattanooga, TN 37414-7426
Phone (423) 495-8659
Other practice location 1
4710 Battlefield Pkwy
Ringgold, GA 30736-5164
Phone (423) 495-2525
Other practice location 2
2051 Hamill Rd
Hixson, TN 37343-6614
Phone (423) 495-2525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, TN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210716002369 | KY | Practitioner - Nurse Practitioner | 7214339969 | |
| I20251028001654 | TN | Practitioner - Nurse Practitioner | 7214339969 | Reassigns benefits to 1 organization |
| I20251031000669 | GA | Practitioner - Nurse Practitioner | 7214339969 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Diagnostic Imaging Consultants Inc
Practice addresses (Care Compare)
2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 495-4430
Hospital & facility affiliations
- Memorial Healthcare System, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Health Corporation, Inc | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Current | Accepting new patients | |
| Diagnostic Imaging Consultants Inc | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Current | Accepting new patients | |
| Memorial Health Partners Foundation, Inc | Past | Accepting new patients |
Locations
100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301
723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421
350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075
825 2nd Ave
Ste B1
Bowling Green, KY 42101
Phone (270) 843-8600
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Chattanooga, TN
- NPI 1598712085
GA, TN
-
- Neurology Physician
- Bowling Green, KY
- NPI 1881109304
-
- Plastic and Reconstructive Surgery Physician
- Bowling Green, KY
- NPI 1104470699
-
- Urology Physician
- Franklin, KY
- NPI 1700492220
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1497329759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80426",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374147426",
"telephone_number": "423-495-8659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 DESALES AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374041161",
"telephone_number": "423-495-2525"
}
],
"practiceLocations": [
{
"address_1": "4710 Battlefield Pkwy",
"address_purpose": "LOCATION",
"city": "Ringgold",
"state": "GA",
"postal_code": "307365164",
"country_code": "US",
"telephone_number": "423-495-2525",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2051 Hamill Rd",
"address_purpose": "LOCATION",
"city": "Hixson",
"state": "TN",
"postal_code": "373436614",
"country_code": "US",
"telephone_number": "423-495-2525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERTRAM",
"first_name": "PAUL",
"middle_name": "B",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-19",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "GA",
"license": "NP004038",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "38904",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KY",
"license": "3015953",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.