# SPRINGFIELD SPINE & SPORT, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MARTIN F. BERTRAM, MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801076369
- **Authorized official:** MRS. PAMELA K GOTHARD (OFFICE MANAGER)
- **Authorized official phone:** (937) 399-8366

## Contact information

- **Practice address:** 4960 MIDDLE URBANA RD, SPRINGFIELD, OH 45503-6040
- **Practice address phone:** (937) 399-8366
- **Practice address fax:** (937) 399-8379
- **Mailing address:** 4960 MIDDLE URBANA RD, SPRINGFIELD, OH 45503-6040
- **Mailing address phone:** (937) 399-8366
- **Mailing address fax:** (937) 399-8379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 35067942 | OH | Yes |

## Other

- **Enumeration date:** 11/13/2007
- **Last updated:** 04/20/2008