KIM C BERTIN


Address: 24 S 1100 E, Ste 101, Salt Lake City, UT 84102-1500
Phone: 8013556468

KIM C BERTIN (NPI# 1568456242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568456242
Entity Type Individual
Full Name KIM C BERTIN
Credential MD
Practice Address 24 S 1100 E
Ste 101
Salt Lake City
UT 84102-1500
Practice Telephone 8013556468
Practice Fax Number 8013553450
Mailing Telephone 8013556468
Mailing Fax Number 8013553450
Enumeration Date 2005-09-08
Last Update Date 2011-08-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0114X Orthopaedic Surgery
Specialization: Adult Reconstructive Orthopaedic Surgery
164111-1205 UT Allopathic & Osteopathic Physicians

Office Location

Street Address 24 S 1100 E
STE 101
City SALT LAKE CITY
State UT
Zip Code 84102-1500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801888748 Thomas R Calame Internal Medicine 24 S 1100 E, Ste 105, Salt Lake City, UT 84102-1500 2005-08-17
1902277908 Tia Peterson Nurse Practitioner 24 S 1100 E, #201, Salt Lake City, UT 84102-1500 2015-10-15
1205222627 Brittney Balogh, Md, PC Surgery 24 S 1100 E, Suite 302, Salt Lake City, UT 84102-1500 2015-04-13
1215325576 Daniel Camp Physician Assistant 24 S 1100 E, Suite 101, Salt Lake City, UT 84102-1500 2015-01-08
1649681065 Margy Batson LLC Clinic/Center 24 S 1100 E, Suite 209, Salt Lake City, UT 84102-1500 2014-05-20
1821421983 Eric C. Chenworth, D.o.,p.c. Allergy & Immunology 24 S 1100 E, Suite 201, Salt Lake City, UT 84102-1500 2013-08-13
1699010769 Joanne Sumpio Hinson Md Pllc Obstetrics & Gynecology 24 S 1100 E, Ste 210, Salt Lake City, UT 84102-1500 2012-11-30
1376887927 Eric C Chenworth D O P C Clinic/Center 24 S 1100 E, Suite 201, Salt Lake City, UT 84102-1500 2012-11-20
1710262860 Patricia Jean Romney Church Physician Assistant 24 S 1100 E, Suite 101, Salt Lake City, UT 84102-1500 2011-10-19
1861776494 Jordan Robert Mcqueen Physician Assistant 24 S 1100 E, Suite 101, Salt Lake City, UT 84102-1500 2011-09-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942818604 Wendy Vazquez Behavior Technician 515 S 700 E Suit 2a, Salt Lake City, UT 84102 2020-07-20
1407481245 Odyssey House Inc Family Medicine 743 E 300 S, Salt Lake City, UT 84102 2020-03-11
1093359960 Hayle Mayer Behavior Technician 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 2019-11-04
1326680869 Ronald Mcdonald House of The Intermountain Area Meals 935 E. South Temple, Salt Lake City, UT 84102 2019-10-16
1508419581 Claire Pemberton Behavior Technician 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 2019-07-19
1558923144 Olivia Anne Hardwick Social Worker Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 2019-07-03
1649741802 Colten Vancampen Behavior Technician 515 S 700 E #2a, Salt Lake City, UT 84102 2018-12-16
1457847964 Utah Podiatry Group PC Podiatrist 24 S 1100 E Ste 120, Salt Lake City, UT 84102 2018-07-09
1104311661 Malorey Kooyman Behavior Technician 515 700 East, Suite 2a, Salt Lake City, UT 84102 2018-06-27
1700384930 Utah Podiatry Group PC Podiatrist 82 S 1100 E Ste 301, Salt Lake City, UT 84102 2018-01-23
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Taxonomy Information

Taxonomy Code 207XS0114X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Adult Reconstructive Orthopaedic Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942292446 Bruce G Evans Orthopaedic Surgery 1160 East 3900 South, Suite 5000, Salt Lake City, UT 84124-1275 2005-08-19
1740676394 Matthew C. Christie Orthopaedic Surgery 590 S Wakara Way, Salt Lake City, UT 84108-1200 2015-04-10
1437579893 Steven Donohoe Orthopaedic Surgery 590 S Wakara Way, Salt Lake City, UT 84108-1200 2014-04-23
1548410608 G Lynn Rasmussen Md PC Orthopaedic Surgery 5848 Fashion Blvd Ste 110, Salt Lake City, UT 84107-6121 2008-09-25
1366624991 Nathan G Momberger Md PC Orthopaedic Surgery 5848 Fashion Blvd Ste 110, Salt Lake City, UT 84107-6121 2007-12-05
1073505582 Michael H Bourne Orthopaedic Surgery 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124-1275 2005-08-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083953558 Russell L Nelson, M.d. PC Orthopaedic Surgery 5323 S Woodrow St Ste 200, Murray, UT 84107-5844 2013-02-04
1669416129 John M Hillyard Orthopaedic Surgery 1899 E Mystic Grove Cv, Cottonwood Heights, UT 84093-5509 2006-06-15
1063645554 Yvonne Potter Fuellenbach Orthopaedic Surgery 5848 Fashion Blvd Ste 110, Murray, UT 84107-6121 2009-08-31
1326286972 Peter G. Larcom Md PC Orthopaedic Surgery 5323 South Woodrow Street Suite 200, Murray, UT 84107 2009-02-04
1366460420 G Lynn Rasmussen Orthopaedic Surgery 5848 Fashion Blvd Ste 110, Murray, UT 84107-6121 2006-07-17
1467486795 Nathan G Momberger Orthopaedic Surgery 5848 Fashion Blvd Ste 110, Murray, UT 84107-6121 2006-07-11
1821029869 Peter G Larcom Orthopaedic Surgery 5316 S Woodrow St Ste 200, Murray, UT 84107-5838 2006-07-06

Competitor

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City SALT LAKE CITY
Zip Code 84102

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Dataset Information

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.

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