Justin B Bertrand (NPI# 1275747107, PAC ID# 1759477730) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1275747107 |
| PAC ID by PECOS | 1759477730 |
| Professional Enrollment ID | I20071023000023 |
| Full Name | Justin B Bertrand |
| Organization Legal Name | UPSTATE COMMUNITY MEDICAL, PC |
| Address |
4900 Broad Rd Syracuse NY 13215-2265 |
| Phone Number | 3154925678 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0143238782 |
| Number of Group Practice Members | 111 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330140 | ST JOSEPH'S HOSPITAL HEALTH CENTER |
| 330241 | UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER |
| Address | Phone | Organization |
|---|---|---|
| 301 Prospect Ave, Syracuse, NY 13203-1807 | 3154485480 | ST JOSEPHS MEDICAL PC |
| 4900 Broad Rd, Syracuse, NY 13215-2265 | 3154925678 | UPSTATE COMMUNITY MEDICAL, PC |
| Organization Legal Name | UPSTATE COMMUNITY MEDICAL, PC |
| Physicians | 115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew D Hood | Physician Assistant | Upstate Community Medical, PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Tanya M. George | Hospitalist | Upstate Community Medical, PC | 4900 Broad Rd, Suite D1, Syracuse, NY 13215-2265 |
| Sindhuri Gayam | Hospitalist | Upstate Community Medical, PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Alfredo Lopez | Obstetrics/gynecology | Upstate Community Medical, PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Jessica T Di Peso | Nurse Practitioner | Upstate Community Medical, PC | 4900 Broad Rd, Suite D1, Syracuse, NY 13215-2265 |
| Robert T Weinheimer | Physician Assistant | Upstate Community Medical, PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Qiana Sutton | Physician Assistant | Upstate Community Medical, PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Ahmed R Nizar | Psychiatry | Upstate Community Medical, PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Meghan Beth Baier | Certified Nurse Midwife (cnm) | Upstate Community Medical, PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Amit S. Dhamoon | Hospitalist | Upstate Community Medical, PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Street Address |
4900 BROAD RD |
| City | SYRACUSE |
| State | NY |
| Zip | 13215-2265 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew D Hood | Physician Assistant | Upstate Community Medical, PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Tanya M. George | Hospitalist | Upstate Community Medical, PC | 4900 Broad Rd, Suite D1, Syracuse, NY 13215-2265 |
| Heidi Glovack | Certified Registered Nurse Anesthetist (crna) | Chag Anesthesia PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Marc A Therrien | Certified Registered Nurse Anesthetist (crna) | Chag Anesthesia PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Michael J Hoskin | Certified Registered Nurse Anesthetist (crna) | Chag Anesthesia PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Sindhuri Gayam | Hospitalist | Upstate Community Medical, PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Alfredo Lopez | Obstetrics/gynecology | Upstate Community Medical, PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Jessica T Di Peso | Nurse Practitioner | Upstate Community Medical, PC | 4900 Broad Rd, Suite D1, Syracuse, NY 13215-2265 |
| Robert T Weinheimer | Physician Assistant | Upstate Community Medical, PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| John Hergert | Certified Registered Nurse Anesthetist (crna) | Chag Anesthesia PC | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harriet Casey | Clinical Social Worker | 4175 Old Winding Way, Syracuse, NY 13215-1240 | |
| Christina Talev Legg | Physical Therapy | Home Stretch Physical Therapy, P.C. | 4279 Crested Butte Run, Syracuse, NY 13215-1355 |
| Johanna W Povlock | Occupational Therapy | Home Stretch Physical Therapy, P.C. | 4279 Crested Butte Run, Syracuse, NY 13215-1355 |
| Robert B Allen | Physical Therapy | Home Stretch Physical Therapy, P.C. | 4279 Crested Butte Run, Syracuse, NY 13215-1355 |
| Antoinette M Eicholzer | Physical Therapy | Home Stretch Physical Therapy, P.C. | 4279 Crested Butte Run, Syracuse, NY 13215-1355 |
| Ann M Hardt | Physical Therapy | Home Stretch Physical Therapy, P.C. | 4279 Crested Butte Run, Syracuse, NY 13215-1355 |
| Stephen A Driscoll | Psychologist, Clinical | 505 Winkworth Pkwy, Syracuse, NY 13215-1553 | |
| Anna-marie Simpson | Chiropractic | Simpson Family Wellness Chiropractic, Pllc | 4922 W Seneca Tpke, Syracuse, NY 13215-2225 |
| Roger G Levine | Psychiatry | 4914 W Seneca Tpke, Syracuse, NY 13215-2225 | |
| Kristin D Fusco | Chiropractic | Simpson Family Wellness Chiropractic, Pllc | 4922 W Seneca Tpke, Syracuse, NY 13215-2225 |
| Find all physicians in zip 13215 | |||
| City | SYRACUSE |
| Zip Code | 13215 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SYRACUSE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Justin B Bertrand.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.