DR. PATRICK J BERTOLINI (NPI# 1750330189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750330189 |
| Entity Type | Individual |
| Full Name | DR. PATRICK J BERTOLINI |
| Credential | M.D. |
| Practice Address |
3540 Village Dr Suite 100 Lincoln NE 68516-4706 |
| Practice Telephone | 4024207113 |
| Mailing Telephone | 4024207113 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 16656 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | MEDICARE TRAVELERS | 080094114 | 01 |
| NE | BCBS PROVIDER NUMBER | 06213 | 01 |
| NE | 10025250200 | 05 |
| Street Address |
3540 VILLAGE DR SUITE 100 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68516-4706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003044660 | Cheney Ridge Family Medical Clinic, PC | General Practice | 3540 Village Dr, Suite 100, Lincoln, NE 68516-4706 | 2009-06-22 |
| 1619071206 | Kelly Lynn Thelen | Nurse Practitioner | 3540 Village Dr, Suite 100, Lincoln, NE 68516-4706 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295380988 | Link To Communication LLC | Speech-Language Pathologist | 5760 S 86th, Ste 2, Lincoln, NE 68516 | 2019-08-08 |
| 1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
| 1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
| 1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
| 1679067839 | Beau D Bryant | Chiropractor | 5800 Hidcote Drive Suite 102, Lincoln, NE 68516 | 2018-06-20 |
| 1730688714 | Kathleen Morgan | Registered Nurse | 611 0 S 41st, Lincoln, NE 68516 | 2018-02-06 |
| 1689195695 | Laura Bokemper | Optometrist | 8201 S 40th St., Lincoln, NE 68516 | 2017-06-29 |
| 1346777562 | Kenneth Bradley Luedke | Counselor | 4706 South 48th St, Lincoln, NE 68516 | 2017-05-18 |
| 1154774669 | Jacob Tucker | Chiropractor | 7011 Kentwell Ln, Suite 200, Lincoln, NE 68516 | 2016-07-20 |
| 1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
| Find all providers in zip 68516 | ||||
| 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 |
|---|---|---|---|---|
| 1740898907 | Physician Management Services of Nebraska, LLC | Family Medicine | 2222 S 16th St Ste 435, Lincoln, NE 68502-3793 | 2020-07-14 |
| 1508486416 | Bluestem Health | Family Medicine | 1500 S 48th St Ste 412, Lincoln, NE 68506-1278 | 2020-04-21 |
| 1356812788 | Holy Family Medical Associates, LLC | Family Medicine | 7121 Stephanie Ln Ste 105, Lincoln, NE 68516-5324 | 2018-12-11 |
| 1295217735 | Angela Zavala | Family Medicine | 4130 Pioneer Woods Dr Ste 2, Lincoln, NE 68506-7552 | 2018-08-31 |
| 1477043800 | Kyle Thomas Gibbens | Family Medicine | 4600 Valley Rd Ste 210, Lincoln, NE 68510-4892 | 2018-05-10 |
| 1821513722 | Good Faith Family Medicine, LLC | Family Medicine | 8055 O Street Suite 100, Lincoln, NE 68510 | 2017-08-11 |
| 1023531936 | Doctors of Women, LLC | Family Medicine | 8055 O St Ste 100, Lincoln, NE 68510-2575 | 2017-07-23 |
| 1881049526 | Family Health & Wellness Center, P.C. | Family Medicine | 2900 S 70th St Ste 310, Lincoln, NE 68506-3690 | 2016-05-02 |
| 1114397254 | Primarycare Housecalls PC | Family Medicine | 5601 S 59th St, Lincoln, NE 68516-2306 | 2015-10-01 |
| 1639584436 | Martha Miller | Family Medicine | 1020 Daniel Dr, Lincoln, CA 95648-8539 | 2014-07-01 |
| Find all providers in LINCOLN | ||||
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| 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.