DOUGLAS EDWARD BERTRAM (NPI# 1720196561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720196561 |
| Entity Type | Individual |
| Full Name | DOUGLAS EDWARD BERTRAM |
| Credential | L.AC |
| Practice Address |
1628 Winnebago St Apt 1 Madison WI 53704-5559 |
| Practice Telephone | 6086927785 |
| Mailing Telephone | 6086927785 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 482-055 | WI | Other Service Providers |
| Street Address |
1628 WINNEBAGO ST APT 1 |
| City | MADISON |
| State | WI |
| Zip Code | 53704-5559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366550295 | Jennifer Ann Bertram | Acupuncturist | 1628 Winnebago St Apt 1, Madison, WI 53704-5559 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124642335 | Michael Ojer | Acupuncturist | 222 N Midvale Blvd Ste 1, Madison, WI 53705-5072 | 2020-06-03 |
| 1619532736 | Qin Yan | Acupuncturist | 5555 Odana Rd Ste 209, Madison, WI 53719-1280 | 2019-05-03 |
| 1679041222 | Gabriel M Karter | Acupuncturist | 618 S Park St, Madison, WI 53715-1828 | 2018-11-12 |
| 1881176097 | Madison Acupuncture & Bodywork, LLC | Acupuncturist | 133 S Butler St Ste 201, Madison, WI 53703-5606 | 2018-09-04 |
| 1215447024 | Tracy Hammerstrom | Acupuncturist | 515 Junction Rd Ste 2300, Madison, WI 53717-2156 | 2017-10-06 |
| 1134654403 | Body-feedback for Health, LLC | Acupuncturist | 2014 Yahara Pl, Madison, WI 53704-5558 | 2017-04-25 |
| 1538534334 | Matthew Wagner | Acupuncturist | 4513 Vernon Blvd, Madison, WI 53705-4993 | 2015-12-04 |
| 1285009175 | Carolyn M Micek | Acupuncturist | 715 Hill St Ste 270, Madison, WI 53705-3572 | 2015-12-03 |
| 1538534664 | Grant Du | Acupuncturist | 1410 Greenway Cross # 101, Madison, WI 53713-3111 | 2015-12-01 |
| 1275923344 | Angelina Kim | Acupuncturist | 2623 S Stoughton Rd, Madison, WI 53716-3317 | 2015-01-28 |
| Find all providers in MADISON | ||||
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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.