DR. JOSEPH MICHAEL BERTROCHE (NPI# 1174576169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174576169 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH MICHAEL BERTROCHE |
| Other Name | J. MICHAEL BERTROCHE |
| Credential | D.O.,J.D. |
| Practice Address |
4622 Progress Dr Suite A Davenport IA 52807-3426 |
| Practice Telephone | 5637425800 |
| Practice Fax Number | 5637425810 |
| Mailing Telephone | 5637425800 |
| Mailing Fax Number | 5637425810 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2017-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
02693 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902288673 | Joseph Tyler Bertroche | Otolaryngology | 5950 University Ave Ste 265, West Des Moines, IA 50266-8233 | 2015-06-18 |
| Street Address |
4622 PROGRESS DR SUITE A |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407274293 | Mi Nelson | Psychiatry & Neurology | 4622 Progress Dr, Davenport, IA 52807-3426 | 2014-03-31 |
| 1023132446 | Rita R Melissano | Marriage & Family Therapist | 4622 Progress Dr, Ste 100, Davenport, IA 52807-3426 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962958264 | Qualicare Psychiatry L.L.C. | Psychiatry & Neurology | 42725 Us-27, Suite # 202, Davenport, FL 33837 | 2016-08-28 |
| 1942613955 | Center for Behavioral Health Iowa, Inc. | Psychiatry & Neurology | 3811 N Harrison St, Davenport, IA 52806-5911 | 2014-06-06 |
| 1912163866 | Fady Ashamalla | Psychiatry & Neurology | 42725 Highway 27, Ste 202, Davenport, FL 33837-6821 | 2008-07-31 |
| 1225097843 | William M Nissen | Psychiatry & Neurology | 1441 W Central Park, Davenport, IA 52804 | 2006-03-22 |
| 1679568133 | Vidyasagar Reddy Vangala | Psychiatry & Neurology | 2504 Sand Mine Rd, Davenport, FL 33897-3402 | 2005-09-12 |
| 1912991340 | Ghada Hamdan-allen | Psychiatry & Neurology | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2005-08-31 |
| 1407274293 | Mi Nelson | Psychiatry & Neurology | 4622 Progress Dr, Davenport, IA 52807-3426 | 2014-03-31 |
| 1336450790 | Henry Frank Emerle | Psychiatry & Neurology | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2010-06-30 |
| 1649307331 | Alice J. Harpring | Psychiatry & Neurology | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2007-02-28 |
| 1588694012 | Rickey L. Wilson | Psychiatry & Neurology | 1401 W Central Park Ave, Davenport, IA 52804-1707 | 2006-07-03 |
| Find all providers in DAVENPORT | ||||
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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.