Provider Demographics
NPI:1285391425
Name:PATIPY, BERTINA II (MD)
Entity type:Individual
Prefix:MISS
First Name:BERTINA
Middle Name:
Last Name:PATIPY
Suffix:II
Gender:
Credentials:MD
Other - Prefix:MISS
Other - First Name:BERTINA
Other - Middle Name:
Other - Last Name:PATIPY
Other - Suffix:II
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3227 SWANN RD APT 303
Mailing Address - Street 2:
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-1332
Mailing Address - Country:US
Mailing Address - Phone:240-521-0501
Mailing Address - Fax:
Practice Address - Street 1:3227 SWANN RD
Practice Address - Street 2:
Practice Address - City:SUITLAND
Practice Address - State:MD
Practice Address - Zip Code:20746-1332
Practice Address - Country:US
Practice Address - Phone:240-521-0501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-23
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No374U00000XNursing Service Related ProvidersHome Health Aide