NPI 1164336244 · live from the CMS NPI Registry
Matthew Christopher Bertoldie, RD
Dietitian, Registered in Springfield, MO. National Provider Identifier 1164336244, active.
NPI record
| NPI | 1164336244 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3020 S Sagamont Ave Apt D18, Springfield, MO 65807 |
| Practice phone | 417-241-1855 |
| Enumerated | September 28, 2026 |
| Last updated | September 28, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2024028058 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.