Individual
DR. TODD BERTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1199 HADLEY RD, MOORESVILLE, IN 46158-1788
(317) 831-2273
(317) 831-9347
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01074236A
IN
2086X0206X
Surgical Oncology Physician
01074236A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000883869
ANTHEM BCBS PIN
IN
05
—
201245330
—
IN
Enumeration date
06/17/2008
Last updated
09/26/2024
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