Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THOMAS MARK BERTAGNOLI, D.O.
Active Sole ProprietorTHOMAS MARK BERTAGNOLI, D.O. is a Pediatrics healthcare provider located in WRIGHT PATTERSON AFB, Ohio. NPI 1912394776 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · WRIGHT PATTERSON AFB, OH
Registration Details
- NPI Number
- 1912394776
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2015 (11.340293363594 yrs)
- Last Updated
- Aug 3, 2023
- License
-
1611 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4881 SUGAR MAPLE DRWRIGHT PATTERSON AFB, OH, 454335529Browse OH providers · Browse ZIP 45433
- Phone
- 9372579612
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in WRIGHT PATTERSON AFB, OH
| Name | Credential | NPI |
|---|---|---|
| DR. BRANTLY BAYNES | M.D. | 1952397242 |
| DR. TIFFANY RENE SIMPSON | D.O | 1831340504 |
| DR. JACQUELINE KATE WADE | M.D. | 1861853988 |
| DR. KARA JEAN KNICKERBOCKER | D.O. | 1871027243 |
| AIMEE YEATES | — | 1225733876 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.