Gary M. Bertman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

028661 Issued in CT

Practice address

157 Montauk Ave
New London, CT 06320-4842

Phone

(860) 437-0333

Fax

(860) 439-1330

NPI assigned

Oct 4, 2006

Last updated

Jan 28, 2010By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hartford Healthcare Medical Group, Inc

  dba Hartford HealthCare Medical Group

  • Surgery Physician
  • Wethersfield, CT
  • NPI 1043561301

  Family Medicine

  Medicare reassignment NPD
• GP Familycare, LLC

  • Family Medicine Physician
  • New London, CT
  • NPI 1629263637
  Authorized official Same address or phone

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1669568309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204842",
            "telephone_number": "860-437-0333",
            "fax_number": "860-439-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204842",
            "telephone_number": "860-437-0333",
            "fax_number": "860-439-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTMAN",
        "first_name": "GARY",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "028661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001286617",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aymi Serena Bennhoff
• Cedric Benson, M.D.
• Calvin T Berg, LCSW
• Rachel Elizabeth Bergeron, MSW
• Iris June Bernau, MSW LCSW ACSW BCD
• Kelsey Bestall
• Tiffany Galicia Beyer
• Alan L Bier, M.D.
• Stephanie Birch, ATC, EMT-B
• John Bitters, MA, LPC

• Family Medicine Physician in New London, CT
• Providers in New London, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.