Individual
BERTHOLLET M BAVIBIDILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE, WILSON BLDG, ROCHESTER, NY 14621
(585) 338-1400
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-0553
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
203530
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027212601
UNIVERA
NY
05
—
00355266
—
NY
01
—
0414023
IHA
NY
01
—
051006000001
FIDELIS
NY
01
—
101660BJ
PREFERRED CARE
NY
01
—
110242022
MEDICARE RAILROAD
NY
01
—
11121577
CAQH
NY
01
—
1245
SIDNEY HILLMAN
NY
01
—
P010203530
BLUE CHOICE
NY
Enumeration date
05/02/2006
Last updated
08/19/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us