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DR. BRIAN LEE BERTHOLOMEY DDS
NPI 1417063215
Dentist - General Practice in Pulaski, VA

Active since August 22, 2006PECOS Enrolled
65 EAST MAIN STREET, SUITE C, PULASKI, VA 24301(540) 980-5202(540) 980-6764 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brian Lee Bertholomey Dds NPPES

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

DR. BRIAN LEE BERTHOLOMEY DDS (NPI 1417063215) is an individual general practice provider in Pulaski, Virginia, licensed in Virginia (0401006576) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417063215
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRIAN LEE BERTHOLOMEYCredential: DDS
Location Address65 EAST MAIN STREET, SUITE CPulaski, VA 24301-5014
Mailing AddressPo Box 2156, 65 East Main Street Suite CPulaski, VA 24301-5014 · (540) 980-5202 · Fax (540) 980-6764
Phone(540) 980-5202
Fax(540) 980-6764
Sole ProprietorNo
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417063215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401006576
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

65 EAST MAIN STREET, Pulaski, VA 24301
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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. Brian Lee Bertholomey Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Brian Bertholomey's NPI number?

The NPI number for Brian Bertholomey is 1417063215. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Brian Bertholomey located?

Brian Bertholomey practices at 65 East Main Street Suite C, Pulaski, VA 24301. The listed phone number is (540) 980-5202.

What is Brian Bertholomey's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Brian Bertholomey enrolled in Medicare?

Yes. Brian Bertholomey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Bertholomey was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.