| Amanda Bowden Bertoli Md Llc | |
|
1411 Windsor Cir Birmingham AL 35213-3433 | |
| (205) 879-8294 | |
| (205) 879-8259 |
| Full Name | Amanda Bowden Bertoli Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1411 Windsor Cir, Birmingham, Alabama |
| Authorized Official Name and Position | Amanda B Bertoli (OWNER/MD) |
| Authorized Official Contact | 2056166816 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Bowden Bertoli Md Llc Po Box 530604 Birmingham AL 35253-0604 Ph: (205) 879-8294 | Amanda Bowden Bertoli Md Llc 1411 Windsor Cir Birmingham AL 35213-3433 Ph: (205) 879-8294 |
| NPI Number | 1811667157 |
|---|---|
| Provider Enumeration Date | 09/17/2021 |
| Last Update Date | 10/18/2021 |
| Medicare PECOS PAC ID | 0244620490 |
|---|---|
| Medicare Enrollment ID | O20211202002372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811667157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Amanda C Bowden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194221457 PECOS PAC ID: 0042569543 Enrollment ID: I20211202002512 |
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