MRS. BOBBIE JO BERTRAM RN CNP NPI 1275844011

NPI Information

NPI: 1275844011
Provider Name: MRS. BOBBIE JO BERTRAM, RN, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: CENTRACARE CLINIC

PECOS Registration: Yes

Address:
1406 6TH AVE N
ST. CLOUD HOSPITAL
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 255-5656
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MRS. Bobbie Jo Bertram, RN, CNP is a family nurse practitioner in Saint Cloud, MN with 14 years of experience. MRS. Bobbie Jo Bertram, RN, CNP NPI is 1275844011. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1406 6TH AVE N
ST. CLOUD HOSPITAL
SAINT CLOUD, MN
ZIP 56303-900
Phone: (320) 255-5656
Fax: (320) 656-7044

The NPI 1275844011 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 6/26/2010 and was last updated on 2/14/2014.

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
1	363LF0000X	Nurse Practitioner	Family	R-156834-7	MINNESOTA	No
2	363LF0000X	Nurse Practitioner	Family	R156834	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PEND	MEDICARE PIN
2	PEND	MEDICAID	MINNESOTA

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: 11/14/2023

NPI Synchronization or Removal

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