Individual provider Active NPI

Brittany Paige Bertone, PA-C

  • Physician Assistant
  • Johnston, RI
National Provider Identifier
1588112437
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00917 Issued in RI
Practice address
1526 Atwood Ave Ste 200
Johnston, RI 02919-3289
Phone
(401) 404-2975
NPI assigned
Sep 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00917 RI Primary

Addresses

Primary practice location

1526 Atwood Ave Ste 200
Johnston, RI 02919-3289

Mailing address

1526 Atwood Ave Ste 200
Johnston, RI 02919-3289
Phone (401) 404-2975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161018002385 RI Practitioner - Physician Assistant 4587952973 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00917RIMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: brittany.bertone.1@9000.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1588112437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 ATWOOD AVE STE 200",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193289",
            "telephone_number": "401-404-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 ATWOOD AVE STE 200",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193289",
            "telephone_number": "401-404-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTONE",
        "first_name": "BRITTANY",
        "middle_name": "PAIGE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.