Nathan Robert Bertoldo, MD, MPH

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

10368191 Issued in UT

Practice address

2245 N 400 E Ste 201
Logan, UT 84341-1891

Phone

(435) 787-7001

Fax

(801) 216-8357

NPI assigned

Jun 27, 2013

Last updated

Oct 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Texas a & M University System, HSC, College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Obstetrics and Gynecology, PCGroup PAC ID 5890862726, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cache Valley Hospital Hospital, North Logan, UT, CCN 460054

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley Obstetrics and Gynecology, PC

  • Obstetrics & Gynecology Physician
  • American Fork, UT
  • NPI 1588863377
  Medicare reassignment Care Compare group NPD
• Valley Obstetrics and Gynecology, P.C.

  • Advanced Practice Midwife
  • American Fork, UT
  • NPI 1780002188
  NPD
• Valley Obstetrics and Gynecology, P.C.

  dba Valley Obstetrics and Gynecology - Gyn/Onc

  • Gynecologic Oncology Physician
  • Salt Lake City, UT
  • NPI 1962923433
  NPD
• Valley Obstetrics and Gynecology, PC

  • Obstetrics & Gynecology Physician
  • North Logan, UT
  • NPI 1285223198
  NPD (past)
• Valley Obstetrics and Gynecology, PC

  dba Southern Utah Women's Health Center, PC

  • Obstetrics & Gynecology Physician
  • St George, UT
  • NPI 1568478170
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mountain Division - CVH, LLC

  dba Cache Valley Hospital

  • General Acute Care Hospital
  • North Logan, UT
  • NPI 1952703472
  Care Compare affiliation

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1851731558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011548",
            "telephone_number": "435-557-0608",
            "fax_number": "801-216-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 N 400 E STE 201",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843411891",
            "telephone_number": "435-787-7001",
            "fax_number": "801-216-8357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 N 400 E Ste 105",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "UT",
            "postal_code": "843417595",
            "country_code": "US",
            "telephone_number": "435-557-0608",
            "fax_number": "801-216-8357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTOLDO",
        "first_name": "NATHAN",
        "middle_name": "ROBERT",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "7092",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "10368191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Benson, OTR/L
• Christopher Lloyd Berentzen, M.D.
• Janalee Berentzen
• Jennifer Rochelle Bergman, LMFT
• Braelee Bergon
• Better Way Counseling, LLC
• Lauren Beutler, RD, CD
• Bailey Biddulph, MS
• Ashlyn Biesinger
• Elizabeth Echo Bigelow, DPT

• Obstetrics & Gynecology Physician in Logan, UT
• Providers in Logan, UT by specialty
• Obstetrics & Gynecology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.