Individual provider Active NPI

Jonathan Bertman, M.D

  • Family Medicine Physician
  • Hope Valley, RI
National Provider Identifier
1679586267
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RI8814 Issued in RI
Practice address
1111 Main St
Hope Valley, RI 02832-1610
Phone
(401) 539-0283
Fax
(401) 539-6741
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RI8814 RI Primary

Addresses

Primary practice location

1111 Main St
Hope Valley, RI 02832-1610

Mailing address

1111 Main St
Hope Valley, RI 02832-1610
Phone (401) 539-0283

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RI8814RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South County Family Medicine Inc. Family Medicine Past Accepting new patients

Organizations & group practices 1

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679586267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MAIN ST",
            "city": "HOPE VALLEY",
            "state": "RI",
            "postal_code": "028321610",
            "telephone_number": "401-539-0283",
            "fax_number": "401-539-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MAIN ST",
            "city": "HOPE VALLEY",
            "state": "RI",
            "postal_code": "028321610",
            "telephone_number": "401-539-0283",
            "fax_number": "401-539-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTMAN",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "RI8814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hope Valley, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.