DR. CORBIN WERTZ MD
NPI 1336836824
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Q: What is Corbin Wertz's NPI number?

The NPI number for Corbin Wertz is 1336836824. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Q: What is Corbin Wertz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Corbin Wertz was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 24, 2023PECOS Enrolled

4502 E 41ST ST, TULSA, OK 74135(918) 660-3130 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Corbin Wertz Md NPPES

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

DR. CORBIN WERTZ MD (NPI 1336836824) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2023).

NPPES Registry Identity

NPI1336836824

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. CORBIN WERTZCredential: MD

Location Address4502 E 41ST STTulsa, OK 74135-2536

Mailing Address4502 E 41st StTulsa, OK 74135-2536

Phone(918) 660-3130

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2023

Enumeration DateApril 24, 2023

NPPES CertifiedApril 24, 2023

✔ NPI 1336836824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

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.

4502 E 41ST ST, Tulsa, OK 74135

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Corbin Wertz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274008446

PECOS Enrollment IDI20260406003608

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MR. MICHAEL DANIEL FIGUEIREDO MD

Emergency Medicine