Individual
DR. PATRICK J BERTOLINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3540 VILLAGE DR, SUITE 100, LINCOLN, NE 68516-4706
(402) 420-7113
Mailing address
3540 VILLAGE DR, SUITE 100, LINCOLN, NE 68516-4706
(402) 420-7113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16656
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06213
BCBS PROVIDER NUMBER
NE
01
—
080094114
MEDICARE TRAVELERS
NE
05
—
10025250200
—
NE
Enumeration date
05/10/2006
Last updated
05/27/2020
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