FRED JEFFREY BERTOLDO


Address: 1619 N Greenwood St, Suite 103, Pueblo, CO 81003-2644
Phone: 7195422167

FRED JEFFREY BERTOLDO (NPI# 1548216443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548216443
Entity Type Individual
Full Name FRED JEFFREY BERTOLDO
Other Name F JEFFREY BERTOLDO
Credential M.D.
Practice Address 1619 N Greenwood St
Suite 103
Pueblo
CO 81003-2644
Mailing Address Po Box 11512
Pueblo
CO 81001-0512
Practice Telephone 7195422167
Practice Fax Number 7195420320
Mailing Telephone 7195422167
Mailing Fax Number 7195420320
Enumeration Date 2006-05-25
Last Update Date 2008-04-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085N0700X Radiology
Specialization: Neuroradiology
35094 CO Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
35094 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 01350941 05

Office Location

Street Address 1619 N GREENWOOD ST
SUITE 103
City PUEBLO
State CO
Zip Code 81003-2644

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043206311 Radiology Associates Specialist 1619 N Greenwood St, Suite 100, Pueblo, CO 81003-2644 2005-09-22
1437600608 Diana Karnilaw Nurse Practitioner 1619 N Greenwood St, Suite 400, Pueblo, CO 81003-2644 2016-10-21
1629451091 Rachel R Buck Nurse Practitioner 1619 N Greenwood St, Suite 208, Pueblo, CO 81003-2644 2015-07-03
1861808750 Jamie Kathryn Rendler Nurse Practitioner 1619 N Greenwood St, Suite 208, Pueblo, CO 81003-2644 2014-07-11
1104181148 Eric Andrew Lewis Podiatrist 1619 N Greenwood St, Suite 300, Pueblo, CO 81003-2644 2012-07-05
1144510660 Sarah Elizabeth Bryant Pediatrics 1619 N Greenwood St, Suite 400, Pueblo, CO 81003-2644 2011-04-18
1043442791 Steven Nafziger Family Medicine 1619 N Greenwood St, Suite 204, Pueblo, CO 81003-2644 2009-08-13
1841421344 David Abbott Radiology 1619 N Greenwood St, Suite 103, Pueblo, CO 81003-2644 2009-07-31
1891923033 Mark Edward Maurer Podiatrist 1619 N Greenwood St, Ste 300, Pueblo, CO 81003-2644 2009-06-25
1346400413 Elizabeth Ehrhardt Md Prof LLC Pediatrics 1619 N Greenwood St, Ste 400, Pueblo, CO 81003-2644 2008-06-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164042016 Sunil Kumar Student in an Organized Health Care Education/Training Program Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 2020-04-21
1497382303 Pueblo Family Dentistry Pllc Dentist 701 N Grand Avenue, Suite B, Pueblo, CO 81003 2020-03-23
1023654241 Elmer A. Villalon, Dmd, LLC Clinic/Center 1225 North Main Street, #207, Pueblo, CO 81003 2019-11-22
1518434349 Mariam Rahim Internal Medicine Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 2018-10-30
1003308222 Julia Mcneice Internal Medicine Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 2018-06-04
1689164857 Jessica Sels Internal Medicine Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 2018-05-14
1700313459 Allison Vigil Occupational Therapist 1600 W. 24th St, Pueblo, CO 81003 2017-05-12
1245682020 Paul S Bongat Internal Medicine 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 2016-07-06
1013368596 Daniel R Long Internal Medicine 411 West 14th Street, Pueblo, CO 81003 2016-06-27
1396195665 Parkview Medical Center General Acute Care Hospital 411 W. 14th St, Pueblo, CO 81003 2016-06-17
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790730810 Parkwest Imaging, L.l.c Radiology 3676 Parker Blvd Suite 165, Pueblo, CO 81008-2212 2006-05-24
1417929373 Gordon F Gibbs Radiology 115 E Riverwalk, Unit 200, Pueblo, CO 81003-3308 2006-02-06
1790767549 Michael E. Ball Radiology 124 W Pitkin Ave, Pueblo, CO 81004-2021 2005-11-17
1396346185 Pueblo Radiological Group, P.C. Radiology 4112 Outlook Blvd Ste 255, Pueblo, CO 81008-1667 2020-11-06
1114528908 Pueblo Radiological Group, P.C. Radiology 1020 Lakeview Ave, Pueblo, CO 81004-3508 2020-11-06
1346841129 Pueblo Radiological Group, P.C. Radiology 4112 Outlook Blvd Ste 96, Pueblo, CO 81008-1667 2020-11-06
1013518000 Pueblo Radiological Group, P.C. Radiology 2035 S Pueblo Blvd, Pueblo, CO 81005-2577 2020-11-05
1164023131 Pueblo Radiological Group, P.C. Radiology 4112 Outlook Blvd Ste 37, Pueblo, CO 81008-1667 2020-11-05
1043811011 Pueblo Radiological Group, P.C. Radiology 729 E Spaulding Ave, Pueblo, CO 81007-3512 2020-11-05
1841421344 David Abbott Radiology 1619 N Greenwood St, Suite 103, Pueblo, CO 81003-2644 2009-07-31
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Competitor

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City PUEBLO
Zip Code 81003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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