NPI 1093706368 · live from the CMS NPI Registry
Matthew S Bertus, P.A.
Physician Assistant in Oklahoma City, OK. National Provider Identifier 1093706368, active.
NPI record
| NPI | 1093706368 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 4050 W Memorial Rd, Third Floor, Oklahoma City, OK 73120 |
| Practice phone | 405-608-3800 |
| Mailing address | Po Box 268919, Oklahoma City, OK 73126 |
| Enumerated | November 4, 2005 |
| Last updated | September 9, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical | 363AM0700X | 861 (OK) |
| Physician Assistant primary | 363A00000X | 861 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.