ALEXANDER BERTRAM (NPI# 1811452873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811452873 |
Entity Type | Individual |
Full Name | ALEXANDER BERTRAM |
Practice Address |
720 4th Ave S Saint Cloud MN 56301-4442 |
Mailing Address |
Po Box 83 Centuria WI 54824-0083 |
Practice Telephone | 7154172549 |
Enumeration Date | 2019-02-04 |
Last Update Date | 2019-02-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992834394 | Alexander Clay Bertram | Pharmacist | 100 Main St, Ripley, OH 45167-1232 | 2007-03-04 |
Street Address |
720 4TH AVE S |
City | SAINT CLOUD |
State | MN |
Zip Code | 56301-4442 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598754517 | Carrie A Holmes | Family Medicine | 720 4th Ave S, Saint Cloud, MN 56301-4498 | 2005-10-21 |
1699312140 | Stacy Ann Solberg | Specialist/Technologist | 720 4th Ave S, Saint Cloud, MN 56301-4498 | 2019-12-03 |
1588126569 | Elizabeth Solarz | Specialist/Technologist | 720 4th Ave S, Saint Cloud, MN 56301-4442 | 2019-04-01 |
1427577949 | Francisco Javier Garcia | Student in an Organized Health Care Education/Training Program | 720 4th Ave S, Saint Cloud, MN 56301-4442 | 2017-09-15 |
1780113738 | Christina Marie Brennan | Specialist/Technologist | 720 4th Ave S, Saint Cloud, MN 56301 | 2017-06-05 |
1770913790 | Rachel Johnson | Specialist/Technologist | 720 4th Ave S, Hah 214, Saint Cloud, MN 56301-4442 | 2013-11-13 |
1538383625 | Mary Helen Andreotti | Nurse Practitioner | 720 4th Ave S, Saint Cloud, MN 56301-4442 | 2007-04-12 |
1154448892 | Brent Nielsen | Family Medicine | 720 4th Ave S, Saint Cloud, MN 56301-4442 | 2007-03-26 |
1437202884 | Jeffrey Todd Johnson | Specialist/Technologist | 720 4th Ave S, 214 Halenbeck Hall, Saint Cloud, MN 56301-4442 | 2007-01-19 |
1821147463 | James Weir Ewing | Internal Medicine | 720 4th Ave S, Saint Cloud, MN 56301-4442 | 2007-01-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
1316453442 | Amber Grengs | Behavior Technician | 3721 23rd St S Ste 201, Saint Cloud, MN 56301 | 2017-12-27 |
1124532999 | Ashley Aune Lewandowski | Chiropractor | 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 | 2017-11-30 |
1962923680 | Inspired By You Home Care, LLC | Home Health | 2700 1st Street N, Suite 202, St Cloud, MN 56301 | 2017-07-03 |
1487189569 | Brett Finberg | Pharmacy Technician | 141 33rd Ave South, Saint Cloud, MN 56301 | 2017-04-26 |
1629513221 | Robert Schug | Pharmacy Technician | 141 33rd Ave S, Saint Cloud, MN 56301 | 2017-01-05 |
1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
1558728600 | Language Partners | Interpreter | 400 1st St S, Suite 600, St. Cloud, MN 56301 | 2016-01-20 |
1679981856 | Quality Homecare Services Inc | Home Health | 3450 W Germain St, Ste 206, St Cloud, MN 56301 | 2014-07-31 |
1063759546 | Grand St Paul Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2420 Division St, St. Cloud, MN 56301 | 2013-01-03 |
Find all providers in zip 56301 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861019960 | Joshua Gangl | Student in an Organized Health Care Education/Training Program | 726 25th Ave N, Saint Cloud, MN 56303-3260 | 2020-07-06 |
1780210617 | Maryam Sadough Shahmirzadi | Student in an Organized Health Care Education/Training Program | 4340 Clearwater Rd Apt 116, Saint Cloud, MN 56301-9642 | 2020-03-23 |
1669005195 | Raven Forester | Student in an Organized Health Care Education/Training Program | 2404 Deer Creek Blvd, Saint Cloud, FL 34772-8206 | 2020-02-12 |
1699338228 | Erik Bartho | Student in an Organized Health Care Education/Training Program | 575 7th St S Apt 302, Saint Cloud, MN 56301-4345 | 2019-04-18 |
1881119022 | Leslie Joyce Gonzalez | Student in an Organized Health Care Education/Training Program | 2540 King Oak Cir, Saint Cloud, FL 34769-6643 | 2017-08-09 |
1114466588 | Jared Richard Sherman | Student in an Organized Health Care Education/Training Program | 1200 E Division St Apt 307, Apt 307, Saint Cloud, MN 56304-0933 | 2017-02-18 |
1679928956 | Mikala Rae Gaffke | Student in an Organized Health Care Education/Training Program | 1038 Manor Ct, Saint Cloud, MN 56303-4810 | 2016-04-25 |
1326450412 | Sara F Poginy | Student in an Organized Health Care Education/Training Program | 2006 11th Ave S, Saint Cloud, MN 56301-5643 | 2014-05-23 |
1295980183 | Cotto's Medical | Student in an Organized Health Care Education/Training Program | 405 Brown Chapel Rd, Saint Cloud, FL 34769-1935 | 2008-11-19 |
1043832132 | Sadio Ahmed Mohamed | Student in an Organized Health Care Education/Training Program | 1555 Northway Dr Ste 200, Saint Cloud, MN 56303-4913 | 2020-05-12 |
Find all providers in SAINT CLOUD |
City | SAINT CLOUD |
Zip Code | 56301 |
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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.