Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KYLE JOHN BERTEA MD
NPI 1053986018
Student in an Organized Health Care Education/Training Program in Auburn, WA

Active since May 23, 2021
923 AUBURN WAY N, AUBURN, WA 98002(253) 351-3900 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2026, May 23, 2021 (2 updates tracked since 2021).

About Kyle John Bertea Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE JOHN BERTEA MD (NPI 1053986018) is an individual student in an organized health care education/training program in Auburn, Washington, licensed in Pennsylvania (MT222901) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1053986018
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKYLE JOHN BERTEACredential: MD
Location Address923 AUBURN WAY NAuburn, WA 98002-4117
Mailing Address923 Auburn Way NAuburn, WA 98002-4117 · (253) 351-3900
Sole ProprietorNo
Enumeration DateMay 23, 2021
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
NPI 1053986018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in PA · MT222901
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
923 AUBURN WAY N, Auburn, WA 98002

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
923 AUBURN WAY N
AUBURN, WA 98002
Psychologist
923 AUBURN WAY N
AUBURN, WA 98002
Student in an Organized Health Care Education/Training Program
923 AUBURN WAY N
AUBURN, WA 98002
Student in an Organized Health Care Education/Training Program
923 AUBURN WAY N
AUBURN, WA 98002
Family Medicine
923 AUBURN WAY N
AUBURN, WA 98002
Nurse Practitioner
923 AUBURN WAY N
AUBURN, WA 98002
Family Medicine
923 AUBURN WAY N
AUBURN, WA 98002
Family Medicine
923 AUBURN WAY N
AUBURN, WA 98002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Bertea's NPI number?

The NPI number for Kyle Bertea is 1053986018. It was assigned to this individual provider in the NPPES registry on May 23, 2021.

Where is Kyle Bertea located?

Kyle Bertea practices at 923 Auburn Way N, Auburn, WA 98002. The listed phone number is (253) 351-3900.

What is Kyle Bertea's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kyle Bertea was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.