Active NPI
Gary Van Wertman, DO
- Family Medicine Physician
- Orbisonia, PA
National Provider Identifier
1508835885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DOOS005169L
- Practice address
- 626 Water Street
Suite 1
Orbisonia, PA 17243 - Phone
- (814) 447-5556
- Fax
- (814) 447-5682
- NPI assigned
- Mar 17, 2006
- Last updated
- Jul 13, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DOOS005169L | PA | Primary |
Addresses
Primary practice location
626 Water Street
Suite 1
Orbisonia, PA 17243
Mailing address
PO Box 40
Orbisonia, PA 17243
Phone (814) 447-5556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008434780002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOOS005169L | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1508835885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "ORBISONIA",
"state": "PA",
"postal_code": "17243",
"telephone_number": "814-447-5556",
"fax_number": "814-447-5682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 WATER STREET",
"address_2": "SUITE 1",
"city": "ORBISONIA",
"state": "PA",
"postal_code": "17243",
"telephone_number": "814-447-5556",
"fax_number": "814-447-5682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERTMAN",
"first_name": "GARY",
"middle_name": "VAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "DOOS005169L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008434780002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orbisonia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.