Provider Demographics
NPI:1326851601
Name:BERTMAN, BRUCE
Entity type:Individual
Prefix:MR
First Name:BRUCE
Middle Name:
Last Name:BERTMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 NW 20TH ST STE G1
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7965
Mailing Address - Country:US
Mailing Address - Phone:561-221-1000
Mailing Address - Fax:
Practice Address - Street 1:141 NW 20TH ST STE G1
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7965
Practice Address - Country:US
Practice Address - Phone:561-221-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator