KURTIS BERTRAM (NPI# 1528592094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528592094 |
Entity Type | Individual |
Full Name | KURTIS BERTRAM |
Credential | DPM |
Practice Address |
20 Glenlake Pkwy Atlanta GA 30328-3473 |
Practice Telephone | 6316458110 |
Mailing Telephone | 6316458110 |
Enumeration Date | 2017-04-12 |
Last Update Date | 2020-06-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD001449 | GA | Podiatric Medicine & Surgery Service Providers |
Street Address |
20 GLENLAKE PKWY |
City | ATLANTA |
State | GA |
Zip Code | 30328-3473 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487655528 | Thomas Wilson Phillips | Radiology | 20 Glenlake Pkwy, Radiation Oncology, Atlanta, GA 30328 | 2005-08-10 |
1659998177 | Jamie Elizabeth Coates | Pharmacist | 20 Glenlake Pkwy, Atlanta, GA 30328-3431 | 2020-06-30 |
1891335014 | Jenna R Van Zelfden | Nurse Practitioner | 20 Glenlake Pkwy, Atlanta, GA 30328-3473 | 2020-01-15 |
1346801362 | Chisom Chijioke Odogwu | Physician Assistant | 20 Glenlake Pkwy, Atlanta, GA 30328-3473 | 2019-06-21 |
1790269579 | Lauren Erin Holcomb | Physician Assistant | 20 Glenlake Pkwy, Atlanta, GA 30328-3473 | 2018-09-18 |
1598111536 | Tiffany Casper | Advanced Practice Midwife | 20 Glenlake Pkwy, Atlanta, GA 30328 | 2016-05-09 |
1417343120 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 20 Glenlake Pkwy, Atlanta, GA 30328-3473 | 2015-04-09 |
1538419726 | James Joseph Weigel | Social Worker | 20 Glenlake Pkwy, Behavioral Health, Atlanta, GA 30328 | 2012-09-14 |
1053674903 | Yi-jou Tsai | Psychiatry & Neurology | 20 Glenlake Pkwy, Atlanta, GA 30328-3473 | 2012-06-15 |
1912264029 | Andrea Lynn Ledbetter | Physician Assistant | 20 Glenlake Pkwy, Kaiser Permanente Glenlake Dept of Gastroenterology, Atlanta, GA 30328 | 2012-04-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
Find all providers in zip 30328 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
1891228540 | Vishal Patel | Podiatrist | 755 Mount Vernon Hwy Ne Ste 210, Atlanta, GA 30328-4279 | 2017-04-10 |
1013322742 | A. Louis Jimenez D.p.m. PC | Podiatrist | 1150 Hammond Dr Bldg E, Suite 600, Atlanta, GA 30328-5334 | 2014-06-20 |
1104183086 | Krum Georgiev | Podiatrist | 3193 Howell Mill Rd Nw Ste 326, Atlanta, GA 30327-2100 | 2012-04-18 |
1255642609 | Erinn Nicole Ponder | Podiatrist | 275 Carpenter Dr, # 106, Atlanta, GA 30328-4928 | 2010-06-30 |
1538492962 | Bednarz Foot and Ankle Pllc | Podiatrist | 107 Peachtree Hills Ave Ne, Atlanta, GA 30305-4303 | 2009-09-17 |
1427229475 | Affiliated Foot and Ankle, P.C. | Podiatrist | 3025 Maple Dr Ne Ste 2, Atlanta, GA 30305-2618 | 2008-03-18 |
1467644880 | Focus Foot & Ankle Centers, LLC | Podiatrist | 5491 Roswell Rd Ne, Suite B, Atlanta, GA 30342-1911 | 2007-08-10 |
1831179886 | Annette D. Filiatrault | Podiatrist | 3025 Maple Dr Ne, Suite 2, Atlanta, GA 30305-2618 | 2006-01-17 |
1174143770 | Affiliated Foot and Ankle, P.C. | Podiatrist | 619 Rankin St Ne, Atlanta, GA 30308-2920 | 2020-04-23 |
Find all providers in ATLANTA |
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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.