Individual provider Active NPI

Jules R Bertholet

  • Basic Emergency Medical Technician
  • Gaithersburg, MD
National Provider Identifier
1811893605
Registry record updated Oct 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
2511019 Issued in MD
Practice address
19200 Chennault Way Ste U
Gaithersburg, MD 20879-4776
Phone
(301) 693-0377
NPI assigned
Oct 17, 2026
Last updated
Oct 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 2511019 MD Primary

Addresses

Primary practice location

19200 Chennault Way Ste U
Gaithersburg, MD 20879-4776

Mailing address

7510 Nevis Rd
Bethesda, MD 20817-4742
Phone (301) 693-0377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792195200000",
    "number": "1811893605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 NEVIS RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208174742",
            "telephone_number": "301-693-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19200 CHENNAULT WAY STE U",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208794776",
            "telephone_number": "301-693-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTHOLET",
        "first_name": "JULES",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-17",
        "last_updated": "2026-10-17",
        "certification_date": "2026-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MD",
            "license": "2511019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.