Jack M. Bertman, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G33641 Issued in CA

Practice address

845 Jackson St
San Francisco, CA 94133-4851

Phone

(775) 790-0463

NPI assigned

Nov 15, 2005

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

Medicare fee-for-service enrollment

Enrolled in CA, OR2 enrollments

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 2

Specialty

Emergency Medicine

Education

University of Southern California Keck School of Medicine, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Morrow County Health District 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pioneer Memorial Hospital Hospital, Heppner, OR, CCN 381310

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/piohosp-eec6c5e3
• FHIR API: https://fhir-myrecord.cerner.com/r4/1c1bd3d4-4a26-4d40-b6ea-57e1e5c43016/

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.

• Morrow County Health District

  • Critical Access Hospital
  • Heppner, OR
  • NPI 1376572099

  OR

  Medicare reassignment Care Compare group NPD
• Morrow County Health District

  • Medicare Defined Swing Bed Hospital Unit
  • Heppner, OR
  • NPI 1770514481

  OR

  Medicare reassignment Care Compare group NPD
• American Specialty Physicians Group Inc

  • Emergency Medicine Physician
  • Modesto, CA
  • NPI 1568992923

  CA, Emergency Medicine

  Medicare reassignment NPD
• Eastern Plumas Health Care District

  • Critical Access Hospital
  • Portola, CA
  • NPI 1245236850

  CA

  Medicare reassignment NPD
• Glenn Medical Center, LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Willows, CA
  • NPI 1336187178

  CA

  Medicare reassignment NPD
• Icco, LLC

  • Urgent Care Clinic/Center
  • Eugene, OR
  • NPI 1407004757

  OR

  Medicare reassignment NPD
• Morrow County Health District

  • Rural Health Clinic/Center
  • Ione, OR
  • NPI 1477945517
  Care Compare group NPD
• Morrow County Health District

  • Rural Health Clinic/Center
  • Heppner, OR
  • NPI 1487685004
  Care Compare group
• Morrow County Health District

  • Home Health Agency
  • Heppner, OR
  • NPI 1720019441
  Care Compare group
• Morrow County Health District

  • Community Based Hospice Care Agency
  • Heppner, OR
  • NPI 1841221306
  Care Compare group
• Morrow County Health District

  • Rural Health Clinic/Center
  • Irrigon, OR
  • NPI 1952331282
  Care Compare group
• Eastern Plumas Health Care Home Health

  • Home Health Agency
  • Portola, CA
  • NPI 1043216849
  NPD

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

• Morrow County Health District

  • Critical Access Hospital
  • Heppner, OR
  • NPI 1376572099

  Hospital

  Care Compare affiliation
• Morrow County Health District

  • Ambulance
  • Heppner, OR
  • NPI 1578594198

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891777967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 JACKSON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334851",
            "telephone_number": "775-790-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 JACKSON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334851",
            "telephone_number": "775-790-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTMAN",
        "first_name": "JACK",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G33641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bert Eye Medical Group, Inc
• Melvyn Donald Bert, M.D.
• Daniel Peter Bertheau, ANP-BC
• Lara Nicole Berthiaume, MASSAGE THERAPIST
• Philippe Berthoud, MFT
• Louise L Bertman, P.H.D.
• Robin Antoinette Bertoli, LCSW
• Susan Bertolli, MD
• Zachary Jason Bertone, LPCC
• Karine Bertram, LMFT

• All providers in San Francisco, CA
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.