SUZANNE M. BERTOLLO M.D. MPH NPI 1871542902

NPI Information

NPI: 1871542902
Provider Name: SUZANNE M. BERTOLLO, M.D., MPH
Classification: Preventive Medicine - 2083P0901X
Entity Type: Individual

Specialization: Public Health & General Preventive Medicine

PECOS Registration: Yes

Address:
777 GLADES RD # BC71
BOCA RATON, FL
ZIP 33431
Phone: (561) 297-3622
Get Directions

Suzanne M. Bertollo, M.D., MPH is a public health and general preventive medicine preventive medicine in Boca Raton, FL. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. Suzanne M. Bertollo, M.D., MPH NPI is 1871542902. 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:

777 GLADES RD # BC71
BOCA RATON, FL
ZIP 33431-424
Phone: (561) 297-3622

The NPI 1871542902 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 5/8/2006 and was last updated on 6/28/2021.

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	207P00000X	Emergency Medicine		30296	SOUTH CAROLINA	No
2	207P00000X	Emergency Medicine		9700023	NORTH CAROLINA	No
3	207P00000X	Emergency Medicine		ME144621	FLORIDA	No
4	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine	30296	SOUTH CAROLINA	No
5	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine	ME144621	FLORIDA	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	AA22522353	OTHER	SOUTH CAROLINA	MEDICARE PTAN
2	79-10976	MEDICAID	NORTH CAROLINA
3	N00023	MEDICAID	SOUTH CAROLINA

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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