Pensacola Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME47948 Issued in FL

Legal business name

PENSACOLA INTERNAL MEDICINE

Practice address

9400 University Pkwy
406
Pensacola, FL 32514-5752

Phone

(850) 473-8575

Fax

(850) 473-9406

NPI assigned

Nov 5, 2007

Last updated

Nov 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marty W Bertelli, M.D.

Title

Medical Physician

Phone

(850) 473-8575

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1679753974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 UNIVERSITY PKWY",
            "address_2": "406",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145752",
            "telephone_number": "850-473-8575",
            "fax_number": "850-473-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 UNIVERSITY PKWY",
            "address_2": "406",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145752",
            "telephone_number": "850-473-8575",
            "fax_number": "850-473-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSACOLA INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "BERTELLI",
        "authorized_official_first_name": "MARTY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEDICAL PHYSICIAN",
        "authorized_official_telephone_number": "850-473-8575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME47948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pensacola Family Practice
• Pensacola HCC LLC
• Pensacola Hospitalist Physicians, LLC
• Pensacola House Calls,LLC
• Pensacola Imaging, LLC
• Pensacola Kids Dentistry
• Pensacola Lung Group, M.D.'S, P.a.
• Pensacola Medical Clinic, LLC
• Pensacola Nephrology, PA (Renalus Center for Kidney Care)
• Pensacola Nephrology, PA (Renalus Center for Kidney Care)

• Internal Medicine Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.