NPIMap

Organization Active NPI

Bertroche & Associates

  • Psychiatry Physician
  • Des Moines, IA
National Provider Identifier
1942432406
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
03220 Issued in IA
Legal business name
BERTROCHE & ASSOCIATES
Practice address
5525 Meredith Drive
Suite B
Des Moines, IA 50310-2334
Phone
(515) 334-9484
Fax
(515) 334-9498
NPI assigned
Aug 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Authorized official

Name
J Patrick Bertroche, D.O.
Title
Owner
Phone
(515) 334-9484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 03220 IA Primary

Addresses

Primary practice location

5525 Meredith Drive
Suite B
Des Moines, IA 50310-2334

Mailing address

5525 Meredith Drive
Suite B
Des Moines, IA 50310-2334
Phone (515) 334-9484

Other identifiers 1

IdentifierTypeStateIssuer
2215616MedicaidIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1942432406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 MEREDITH DRIVE",
            "address_2": "SUITE B",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503102334",
            "telephone_number": "515-334-9484",
            "fax_number": "515-334-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 MEREDITH DRIVE",
            "address_2": "SUITE B",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503102334",
            "telephone_number": "515-334-9484",
            "fax_number": "515-334-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTROCHE & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "BERTROCHE",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-334-9484",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "03220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2215616",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.