Michael Bertulfo

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

2512 NE 1St Blvd Ste 400
Gainesville, FL 32609-3026

Phone

(813) 428-2043

NPI assigned

Apr 20, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1700529377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 NE 1ST BLVD STE 400",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 NE 1ST BLVD STE 400",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093026",
            "telephone_number": "813-428-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTULFO",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Lee Berry, MD
• Shivani Berry, MD
• Tamaya D Berry
• Julie Ann Berthy, ARNP
• Cody Parker Bertoch, DMD
• Benjamin Berwick
• Christopher Beskow, DO
• Bridget Besoner, RD
• Holli K Best
• Kathleen C.K. Best, PA-C

• All providers in Gainesville, FL
• Health Educator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.