Individual
ROBERT L. BERTRAM
Active
Individual
ROBERT L. BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02506
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000064586
ANTHEM
KY
01
—
110185245
RAILROAD MEDICARE
KY
01
—
608475500
BLACK LUNG
KY
05
—
64025067
—
KY
Enumeration date
01/15/2007
Last updated
06/05/2015
Update your record
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