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Bertram Gilbert Kwasman

Physician β€’ Phoenix, AZ

Deactivated NPI 1689766396 Deactivated in NPPES Male Practitioner
Practice location in NPPES

650 E Indian School Rd, Department Of Surgery
Phoenix, AZ 850121839

Phone: 6022775551

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of December 12, 2018; the reason is not published. The records below are historical. They do not show whether Bertram Kwasman currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date September 29, 2006
NPI Deactivation Date December 12, 2018
NPI Active Period 2006 – 2018

Practice Location & Contact Primary Location

Practice Address

650 E Indian School Rd
Department Of Surgery

Phoenix, AZ 850121839

Telephone 6022775551
Fax 6022222705
Organization at the Same NPPES Address or Phone
Phoenix Vamc Facility NPI 1184682676

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Phoenix and Arizona

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

General Acute Care Hospital Primary Specialty

NUCC Taxonomy Code: 282N00000X

License # reported to NPPES AZ 10784

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Dr. Suzan Kavusi , MD

Pathology - Dermatopathology

NPI 1043655301

Doctor of Medicine (M.D.)

Dr. Stefan Nawab , MD

Psychiatry & Neurology - Psychiatry

NPI 1053458216

Doctor of Medicine (M.D.)

Dr. Sandhya Reddy , MD

Internal Medicine

NPI 1053352377

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated December 12, 2018

NPPES lists this NPI as deactivated as of December 12, 2018; the reason is not published.

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 650 E INDIAN SCHOOL RD, DEPARTMENT OF SURGERY, PHOENIX, AZ 850121839 (Tel: 6022775551)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 11826 E DEL TIMBRE DR, SCOTTSDALE, AZ 852596330 (Tel: 4803143314)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as BERTRAM KWASMAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Acute Care Hospital (license number reported to NPPES: AZ 10784)

🟒
Initial NPI Registration & Enumeration September 29, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1689766396
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2006
Last Update: July 08, 2007
Deactivation Date: December 12, 2018

Mailing Address

11826 E Del Timbre Dr

Scottsdale, AZ 852596330

Phone: 4803143314

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.