Thomas Mark Bertagnoli, D.O.

Pediatrics Physician · Wright Patterson Afb, OH

Individual Active NPI

NPI number 1912394776

Practice location

4881 Sugar Maple Dr
Wright Patterson Afb, OH 45433-5529
Phone
(937) 257-9612

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NPI record

NPI
1912394776
Entity type
Individual (Type 1)
Enumeration date
April 20, 2015
Last updated
August 3, 2023
Certified
August 1, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 1611 NE

Mailing address

88MDG/SGHJ
4881 Sugar Maple Dr
Wright-Patterson Afb, OH 45433-5529

About Dr. Bertagnoli

Thomas Mark Bertagnoli, D.O. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529. The NPI number 1912394776 was assigned on April 20, 2015 and the record was last updated on August 3, 2023.

Dr. Bertagnoli lists a license in the registry: #1611 (NE) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas Mark Bertagnoli, D.O.?

The NPI number is 1912394776.

What is the phone number of Dr. Bertagnoli?

The phone number listed for the practice location is (937) 257-9612.

Where is Dr. Bertagnoli located?

4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529.

What is the taxonomy code for Dr. Bertagnoli?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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