DR. CRAIG D. BERTEAU (NPI# 1518130392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518130392 |
| Entity Type | Individual |
| Full Name | DR. CRAIG D. BERTEAU |
| Credential | M.D. |
| Practice Address |
940 Brookway Blvd Brookhaven MS 39601-2644 |
| Practice Telephone | 6018235000 |
| Practice Fax Number | 6018234142 |
| Mailing Telephone | 6018235000 |
| Mailing Fax Number | 6018234142 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2014-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
20521 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09133044 | 05 |
| Street Address |
940 BROOKWAY BLVD |
| City | BROOKHAVEN |
| State | MS |
| Zip Code | 39601-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477663318 | Dena W Jackson | Internal Medicine | 940 Brookway Blvd, Brookhaven, MS 39601-2644 | 2006-08-30 |
| 1679107692 | Tucker Lee Brady | Nurse Practitioner | 940 Brookway Blvd, Brookhaven, MS 39601-2644 | 2020-02-28 |
| 1326575069 | Daniel Moore | Nurse Practitioner | 940 Brookway Blvd, Brookhaven, MS 39601-2644 | 2017-05-12 |
| 1760814370 | Karen Wallace Freeman | Pharmacist | 940 Brookway Blvd, Brookhaven, MS 39601-2644 | 2013-08-06 |
| 1821420431 | April Matthews | Pharmacist | 940 Brookway Blvd, Brookhaven, MS 39601-2644 | 2013-08-06 |
| 1518299213 | Karla Adams Gerald | Nurse Practitioner | 940 Brookway Blvd, Brookhaven, MS 39601-2644 | 2010-02-04 |
| 1225147135 | Ramiro A Montalvo Jr. | Internal Medicine | 940 Brookway Blvd, Brookhaven, MS 39601-2644 | 2006-08-30 |
| 1013026947 | Tonya C Hughey | Nurse Practitioner | 940 Brookway Blvd, Brookhaven, MS 39601-2644 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1306371687 | Rocky Mountain Holdings, LLC | Ambulance | 411 Highway 51 N, Brookhaven, MS 39601 | 2017-04-25 |
| 1043759269 | Candace C Turner | Counselor | 860 E River Pl Suite 100, Jackson, MS 39601 | 2017-02-21 |
| 1619419694 | Therapy Nook PC | Speech-Language Pathologist | 520 Schwem Avenue, Brookhaven, MS 39601 | 2016-11-08 |
| 1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
| 1134597107 | Passionate Care Home Health,llc | Home Health | 537 St Charles Places, Brookhaven, MS 39601 | 2015-09-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1386930113 | Hospice Advantage, LLC. | Hospice Care, Community Based | 120 W Cherokee St, Brookhaven, MS 39601 | 2011-06-20 |
| Find all providers in zip 39601 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101378 | North Mississippi Medical Center, Inc. | Psychiatry & Neurology | 408 Council Cir Ste B, Tupelo, MS 38801-4949 | 2020-07-21 |
| 1376168500 | Ms Care Clinic, Inc | Psychiatry & Neurology | 625 S Pear Orchard Rd Ste B, Ridgeland, MS 39157-4836 | 2020-06-12 |
| 1528303401 | Dave Allen Roberts | Psychiatry & Neurology | 107 Candlewick Rd, Hattiesburg, MS 39402-3010 | 2012-12-04 |
| 1881959401 | Magnolia Specialty Clinic | Psychiatry & Neurology | 3704 Hwy. 72 West, Corinth, MS 38834-8556 | 2012-07-10 |
| 1538436167 | Mid-south Neurology-sleep Medical Clinic Pllc | Psychiatry & Neurology | 5740 Getwell Rd Bldg 6, Southaven, MS 38672-6346 | 2011-11-28 |
| 1629379078 | Bolivar Physician Practices LLC | Psychiatry & Neurology | 903 East Sunflower Rd, Suite 400, Cleveland, MS 38732-2551 | 2010-11-16 |
| 1235454059 | Mitchell Myers, M.d. | Psychiatry & Neurology | 2906 North State Street, Suite 301, Jackson, MS 39216 | 2010-04-05 |
| 1407188501 | Magnolia Regional Health Center | Psychiatry & Neurology | 611 Alcron Drive, Corinth, MS 38834 | 2010-02-01 |
| 1639309685 | Syed Baqer Sadiq | Psychiatry & Neurology | 3603 Bienville Blvd Ste 102, Ocean Springs, MS 39564-5736 | 2009-07-23 |
| 1770717449 | Precise Clinical Neuroscience Specialists | Psychiatry & Neurology | 3531 Lakeland Dr Ste 1060, Flowood, MS 39232-8016 | 2009-05-11 |
| Find all providers with the same taxonomy | ||||
| City | BROOKHAVEN |
| Zip Code | 39601 |
Please comment or provide details below to improve the information on DR. CRAIG D. BERTEAU.
| 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.