Jerome W Bettman Jr., MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

69103 Issued in NM

Practice address

2727 San Pedro Drive, N.E.
Suite 115
Albuquerque, NM 87110-3364

Phone

(505) 888-7082

Fax

(505) 888-7082

NPI assigned

Jan 23, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jerry W Bettman Jr. Other name

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1891972733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 70125",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871970125",
            "telephone_number": "505-888-7082",
            "fax_number": "505-888-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 SAN PEDRO DRIVE, N.E.",
            "address_2": "SUITE 115",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103364",
            "telephone_number": "505-888-7082",
            "fax_number": "505-888-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTMAN",
        "first_name": "JEROME",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-23",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "69103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRY",
            "last_name": "BETTMAN",
            "middle_name": "W",
            "suffix": "JR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Better Ways Health
• Betterhealth Treatment Centers LLC
• Christopher Scott Bettis, PA-C
• Claire Barrett Bettler, C.N.M.
• John Bettler
• Elena Bettolivaughan, PHD
• Between the Lines Therapy LLC
• Brett Watson Beutel, LPCC
• Michele Helene Beuttel, LBSW,LMSW,LISW
• Alexander William Bevak, DO

• Ophthalmology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Ophthalmology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.