NPI 1437100260 · live from the CMS NPI Registry
Ronda D Bertus, PA-C
Physician Assistant in Oklahoma City, OK. National Provider Identifier 1437100260, active.
NPI record
| NPI | 1437100260 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120 |
| Practice phone | 405-608-3800 |
| Mailing address | 7800 Nw 85th Ter, Oklahoma City, OK 73132 |
| Enumerated | May 15, 2006 |
| Last updated | April 3, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 867 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.