Active NPI
Julie Bertram
- Registered Nurse
- Parkersburg, WV
National Provider Identifier
1851562995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 41570
- Practice address
- 1210 13TH St
Parkersburg, WV 26101-4144 - Phone
- (304) 420-9663
- NPI assigned
- Mar 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 41570 | WV | Primary |
Addresses
Primary practice location
1210 13TH St
Parkersburg, WV 26101-4144
Mailing address
1210 13TH St
Parkersburg, WV 26101-4144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0161645000 | Medicaid | WV |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41570 | WV | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wood County Board of Education | Past | Accepting new patients | |
| Wood County Board of Education | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Local Education Agency (LEA)
- Parkersburg, WV
- NPI 1053589119
-
- Local Education Agency (LEA)
- Parkersburg, WV
- NPI 1972772630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1851562995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 13TH ST",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261014144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 13TH ST",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261014144",
"telephone_number": "304-420-9663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTRAM",
"first_name": "JULIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-17",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WV",
"license": "41570",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0161645000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.