SALVATORE BERTUCCI NPI 1043693716

NPI Information

NPI: 1043693716
Provider Name: SALVATORE BERTUCCI
Classification: General Practice - 208D00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 36000 DARNALL LOOP
FORT HOOD, TX
ZIP 76544
Phone: (254) 288-8234

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NPI Details

Salvatore Bertucci is a general practice in Fort Hood, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Salvatore Bertucci NPI is 1043693716. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

36000 DARNALL LOOP
FORT HOOD, TX
ZIP 76544-095
Phone: (254) 288-8234

The NPI 1043693716 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2015 and was last updated on 2/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	171000000X	Military Health Care Provider	5101023685	MICHIGAN	No
2	390200000X	Student in an Organized Health Care Education/Training Program			No
3	208D00000X	General Practice	5101023685	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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