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BARRY BERTOLASIO IDC
NPI 1164859930
Military Health Care Provider - Independent Duty Corpsman in Virginia Beach, VA

Active since October 10, 2013
1840 GATOR BLVD, BUILDING 3841, VIRGINIA BEACH, VA 23459(757) 763-3321 Get Directions Write a Review

NPPES record last updated: October 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Barry Bertolasio Idc NPPES

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

BARRY BERTOLASIO IDC (NPI 1164859930) is an individual independent duty corpsman provider in Virginia Beach, Virginia and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1164859930
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameBARRY BERTOLASIOCredential: IDC
Location Address1840 GATOR BLVD, BUILDING 3841Virginia Beach, VA 23459-8931
Mailing Address835 Crashaw StVirginia Beach, VA 23462-6913 · (757) 288-5747
Phone(757) 763-3321
Sole ProprietorNo
Enumeration DateOctober 10, 2013
✔ NPI 1164859930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
1840 GATOR BLVD, Virginia Beach, VA 23459
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Other Providers at the Same Location NPPES 3

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

TADEO E O'BRIEN IDC
Military Health Care Provider (Independent Duty Corpsman)
1840 GATOR BLVD
VIRGINIA BEACH, VA 23459
Virginia Beach City (757) 202-1362
WARREN SKINNER IDC
Military Health Care Provider (Independent Duty Corpsman)
1840 GATOR BLVD
VIRGINIA BEACH, VA 23459
Virginia Beach City (757) 763-2198
JOSE OMAR VARGAS SFIDC
Military Health Care Provider (Independent Duty Corpsman)
1840 GATOR BLVD, BLDG: 3841
VIRGINIA BEACH, VA 23459
Virginia Beach City (757) 763-3382

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 Barry Bertolasio's NPI number?

The NPI number for Barry Bertolasio is 1164859930. It was assigned to this individual provider in the NPPES registry on October 10, 2013.

Where is Barry Bertolasio located?

Barry Bertolasio practices at 1840 Gator Blvd Building 3841, Virginia Beach, VA 23459. The listed phone number is (757) 763-3321.

What is Barry Bertolasio's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Barry Bertolasio was last updated on October 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.