BRAD DWAYNE BERTRAND FNP NPI 1063842920

NPI Information

  • NPI: 1063842920
  • Provider Name: BRAD DWAYNE BERTRAND, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1600 MARKET ST
    SAN FRANCISCO, CA
    ZIP 94102
  • Phone: (415) 746-1812

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NPI Details

Brad Dwayne Bertrand, FNP is a family nurse practitioner in San Francisco, CA. Brad Dwayne Bertrand, FNP NPI is 1063842920. 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:

1600 MARKET ST
SAN FRANCISCO, CA
ZIP 94102-910
Phone: (415) 746-1812
Fax: (415) 829-2326

The NPI 1063842920 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)

The enumeration date for this NPI number is 11/13/2013 and was last updated on 3/9/2020.

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 Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN104830LOUISIANANo
2363LF0000XNurse PractitionerFamilyAP07021LOUISIANANo
3363LF0000XNurse PractitionerFamily95011767CALIFORNIAYes

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: 3/30/2025

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