Jeffrey K Bert, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD09764 Issued in OR

Practice address

2699 N 17TH St
Coos Bay, OR 97420-2134

Phone

(541) 266-3600

Fax

(541) 269-0708

NPI assigned

May 30, 2006

Last updated

Jul 6, 2010By 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 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OR

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

Orthopedic Surgery

Education

University of Colorado School of Medicine, Denver, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coquille Valley HealthGroup PAC ID 2567902182, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffreybert@southcoast.allscriptsdirect.net

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.

• Coquille Valley Health

  • Orthopaedic Surgery Physician
  • Coos Bay, OR
  • NPI 1376374967
  Medicare reassignment Care Compare group NPD
• South Coast Orthopaedic Associates, PC

  • Orthopaedic Surgery Physician
  • Coos Bay, OR
  • NPI 1245284751
  Medicare reassignment NPD
• Coquille Valley Health

  • Critical Access Hospital
  • Coquille, OR
  • NPI 1932080199
  NPD
• Coquille Valley Health

  • Family Medicine Physician
  • Myrtle Point, OR
  • NPI 1306623657
  NPD (past)

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

• Bay Area Hospital District

  dba Bay Area Hospital

  • General Acute Care Hospital
  • Coos Bay, OR
  • NPI 1225016561
  Care Compare affiliation

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1871540252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 N 17TH ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202134",
            "telephone_number": "541-266-3600",
            "fax_number": "541-269-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 N 17TH ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202134",
            "telephone_number": "541-266-3600",
            "fax_number": "541-269-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERT",
        "first_name": "JEFFREY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD09764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "97420A010",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240218",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200025535",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE",
            "identifier": "C105001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "050922009",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Paul Behr
• Anthony Ray Belisle Jr., L.D.
• Jason Scott Bell, M.D.
• Fred Andrew Beltran
• Melanie Benson
• Martha Anne Biersner, RD LD MS
• Ralph Girard Bixler, RPH
• Crista Black, LMT
• Jordan Michael Blacktop, PHD
• Bryon Blackwell, D.C.

• Orthopaedic Surgery Physician in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Orthopaedic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.