Cody Bertram

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16376-24 Issued in WI

Practice address

1400 Eastside Rd
Platteville, WI 53818-9800

Phone

(608) 348-2331

NPI assigned

May 31, 2023

Sex

Male

Sole proprietor

No

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

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southwest Health Center, Inc

  • Critical Access Hospital
  • Platteville, WI
  • NPI 1831279793
  Medicare reassignment NPD
• Southwest Health Center, Inc.

  • Rural Health Clinic/Center
  • Cuba City, WI
  • NPI 1316324429
  NPD
• Southwest Health Center, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Platteville, WI
  • NPI 1922704642
  NPD

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1629761028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 OLD HIGHWAY RD",
            "city": "MINERAL POINT",
            "state": "WI",
            "postal_code": "535658412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 EASTSIDE RD",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538189800",
            "telephone_number": "608-348-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTRAM",
        "first_name": "CODY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16376-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Belken
• Kari Kaye-Cattle Bell, LCSW, LMSW
• Clark Edward Benson, D.C.
• Joanne Marie Beraldi, MSW
• Dallas Karl Bernhardt
• Catherine A Blume, APNP
• Sarah Blume, RN
• Jacquelyne Anne Bodden, MSN RN-C WHNP
• Maya Clare Boguslawski, PHARMD
• Candace Ann Bolton-Flynn, M.S.

• Physical Therapist in Platteville, WI
• Providers in Platteville, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.