GARY M. BERTMAN (NPI# 1669568309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669568309 |
| Entity Type | Individual |
| Full Name | GARY M. BERTMAN |
| Credential | M.D. |
| Practice Address |
157 Montauk Ave New London CT 06320-4842 |
| Practice Telephone | 8604370333 |
| Practice Fax Number | 8604391330 |
| Mailing Telephone | 8604370333 |
| Mailing Fax Number | 8604391330 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2010-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 028661 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001286617 | 05 |
| Street Address |
157 MONTAUK AVE |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-4842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629263637 | Gp Familycare, LLC | Family Medicine | 157 Montauk Ave, New London, CT 06320-4842 | 2007-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881195048 | Glenn Edward Mott | Family Medicine | 74 Pleasant St Ste 204, New London, NH 03257-5881 | 2018-02-23 |
| 1316124043 | Heritage Family Care LLC | Family Medicine | 470 Bank St, New London, CT 06320-5548 | 2008-01-24 |
| 1093992000 | Christine Ann Dube | Family Medicine | 273 Country Road, New London, NH 03257 | 2008-01-22 |
| 1679761423 | Southeastern Connecticut Medical Associates, PC | Family Medicine | 447 Montauk Ave, New London, CT 06320-4605 | 2007-10-05 |
| 1922215946 | Anthony Joseph Yuskaitis | Family Medicine | 868 Morgan Hill Rd., New London, NH 03257 | 2007-05-17 |
| 1154416782 | Peter J. Gates | Family Medicine | 157 Montauk Avenue, New London, CT 06320 | 2006-10-03 |
| 1972519213 | Amber O Vick | Family Medicine | 600 Peterson Parkway, Affiliated Community Medical Centers, New London, MN 56273 | 2006-07-31 |
| 1467482653 | Leticia V Filip | Family Medicine | 153 Montauk Ave, New London, CT 06320-4842 | 2006-07-03 |
| 1174585442 | Josiephina Castro Souza | Family Medicine | U.S.coast Guard Academy Medical, 15 Mohegan Ave, New London, CT 06320 | 2006-04-03 |
| 1669449351 | Jeffrey A Harwood | Family Medicine | 187 W Main St, New London, OH 44851-1018 | 2006-03-02 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
Please comment or provide details below to improve the information on GARY M. BERTMAN.
| 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.