DR. CHARLES JOSEPH BERTUCH M.D. NPI 1316056013

NPI Information

NPI: 1316056013
Provider Name: DR. CHARLES JOSEPH BERTUCH, M.D.
Classification: Independent Medical Examiner - 202C00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1120 E ELIZABETH STREET
FORT COLLINS, CO
ZIP 80524
Phone: (970) 493-9193
Get Directions

DR. Charles Joseph Bertuch, M.D. is an independent medical examiner in Fort Collins, CO. The provider is a special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. DR. Charles Joseph Bertuch, M.D. NPI is 1316056013. 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:

1120 E ELIZABETH STREET
FORT COLLINS, CO
ZIP 80524
Phone: (970) 493-9193
Fax: (970) 639-4475

The NPI 1316056013 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 8/29/2006 and was last updated on 5/3/2019.

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	174400000X	Specialist		99421-1	NEW YORK	No
2	2083A0300X	Preventive Medicine	Addiction Medicine	DR.0052261	COLORADO	No
3	202C00000X	Independent Medical Examiner		099426	NEW YORK	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	0000CM0523	OTHER		RAILROAD MEDICARE
2	000405418002	OTHER	NEW YORK	BSH NE NY
3	00553493	MEDICAID	NEW YORK
4	18111	OTHER	NEW YORK	MVP HEALTHPLAN

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: 4/28/2024

NPI Synchronization or Removal

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