DALE T BERTRAM (NPI# 1871550970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871550970 |
| Entity Type | Individual |
| Full Name | DALE T BERTRAM |
| Credential | MD |
| Practice Address |
611 Honey Bear Ct Waupaca WI 54981-1071 |
| Practice Telephone | 6085169278 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2013-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 25540 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30688500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548211212 | Dale E Bertram | Counselor | 203 W Main St, Warsaw, KY 41095-9303 | 2006-05-15 |
| Street Address |
611 HONEY BEAR CT |
| City | WAUPACA |
| State | WI |
| Zip Code | 54981-1071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096141 | Renee Elizabeth Winn | Speech-Language Pathologist | 800 Riverside Drive Dr. 902 Building, Speech Therapy, Waupaca, WI 54981 | 2019-07-30 |
| 1891263216 | Stephanie Rice | Dental Hygienist | N4008 Morgan Dr, Waupaca, WI 54981 | 2018-11-03 |
| 1972092989 | Renew Physical Therapy and Wellness, LLC | Physical Therapist | N2919 County Road Qq, Waupaca, WI 54981 | 2018-05-04 |
| 1366942195 | Lanna Boyle | Physical Medicine & Rehabilitation | E1132 Hillcrest Dr, Waupaca, WI 54981 | 2018-02-19 |
| 1710333893 | Thedacare Medical Center - Waupaca, Inc. | General Acute Care Hospital | N2610 Wi 22, Waupaca, WI 54981 | 2016-05-09 |
| 1750743365 | Kimberly Marie Kraeger | Counselor | Waupaca County Dhhs, 811 Harding St, Waupaca, WI 54981 | 2016-03-23 |
| 1619211596 | Kari Anna Esbensen | Counselor | N2919 Cty Qq, Waupaca, WI 54981 | 2012-11-16 |
| 1396027629 | Roots Wholistic Health | Chiropractor | 717 Churchill St., Waupaca, WI 54981 | 2011-09-13 |
| 1629387006 | Barton Jerome Blum | General Practice | E1803 Melody Lane, Waupaca, WI 54981 | 2010-10-01 |
| 1710219357 | Anne Marie Collins-reed | Social Worker | 315 River Road, New London, WI 54981 | 2010-02-08 |
| Find all providers in zip 54981 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801240858 | Jamie Lynn Schneider | Emergency Medicine | 800 Riverside Dr, Waupaca, WI 54981 | 2016-04-15 |
| 1992858195 | Robin Purdy | Emergency Medicine | 800 Riverside Dr, Waupaca, WI 54981-1943 | 2007-01-19 |
| 1376553420 | Francesca L Detrana | Emergency Medicine | 800 Riverside Dr, Waupaca, WI 54981-1943 | 2006-08-09 |
| 1477569275 | Mandip Kaur Bartels | Emergency Medicine | 800 Riverside Dr, Waupaca, WI 54981-1943 | 2006-08-01 |
| 1811904287 | Charles Conger | Emergency Medicine | 800 Riverside Dr, Waupaca, WI 54981-1943 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275012171 | Kathleen Ray Price | Emergency Medicine | 146 Old Orchard Ln, Neenah, WI 54956-4954 | 2018-08-10 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1780115634 | Sean Anthony Mackman | Emergency Medicine | 9200 W Wisconsin Ave # 1p, Milwaukee, WI 53226-3522 | 2017-03-22 |
| 1114375367 | Arthur How Jen Chiu | Emergency Medicine | 1726 Chadbourne Ave, Madison, WI 53726-4108 | 2016-05-28 |
| 1912352873 | Glenn Thiel | Emergency Medicine | N20015 Echo Lake Rd, Niagra, WI 54151 | 2016-04-28 |
| 1437512613 | Jacob Tyler Clark | Emergency Medicine | 1035 Kepler Dr, Green Bay, WI 54311-8320 | 2016-04-04 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1871955187 | Scott Erickson | Emergency Medicine | 4876 N Sheffield Ave, Whitefish Bay, WI 53217-5962 | 2016-03-25 |
| 1992166821 | Nicholas W Hawley | Emergency Medicine | 3003 W Good Hope Rd # Bcm320, Milwaukee, WI 53209-2042 | 2016-03-20 |
| 1164802138 | Adam Nicholson | Emergency Medicine | 600 Highlanc Ave, Madison, WI 53792-0001 | 2015-06-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DALE T BERTRAM.
| 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.