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SPRINGFIELD SPINE & SPORT INC. NPI 1801076369


NPI Information

NPI: 1801076369
Provider Name: SPRINGFIELD SPINE & SPORT, INC.

Other Name: MARTIN F. BERTRAM, MD

Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
4960 MIDDLE URBANA RD
SPRINGFIELD, OH
ZIP 45503
Phone: (937) 399-8366
Get Directions

SPRINGFIELD SPINE & SPORT, INC. is a pain medicine physical medicine rehabilitation in Springfield, OH. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. SPRINGFIELD SPINE & SPORT, INC. NPI is 1801076369. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Martin F. Bertram, Md.

The provider's business location address is:

4960 MIDDLE URBANA RD
SPRINGFIELD, OH
ZIP 45503-040
Phone: (937) 399-8366
Fax: (937) 399-8379

The provider's authorized official is Pamela K Gothard .
The authorized official title is Office Manager and has the following contact phone number (937) 399-8366.

The enumeration date for this NPI number is 11/13/2007 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081P2900XPhysical Medicine & RehabilitationPain Medicine35067942OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHEROHIOTAX ID
2389824050015OTHEROHIOOHIO BUREAU WORKERS COMP
3000000038962OTHEROHIOANTHEM
40110963MEDICAIDOHIO
59335487MEDICARE PINOHIO
69335486MEDICARE PINOHIO
7F75130MEDICARE UPINOHIO
89335481MEDICARE PINOHIO
99335484MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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