DR. BERTRAM G KATZUNG
NPI 1558516559
General Practice in San Rafael, CA

Active since November 18, 2008PECOS Enrolled
65 KNOLL RD, SAN RAFAEL, CA 94901(415) 456-5812(415) 459-0688 Get Directions Write a Review

NPPES record last updated: November 18, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Bertram G Katzung NPPES

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

DR. BERTRAM G KATZUNG (NPI 1558516559) is an individual general practice provider in San Rafael, California, licensed in California (G5165) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558516559
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. BERTRAM G KATZUNG
Location Address65 KNOLL RDSan Rafael, CA 94901-3626
Mailing Address65 Knoll RdSan Rafael, CA 94901-3626 · (415) 456-5812 · Fax (415) 459-0688
Fax(415) 459-0688
Sole ProprietorYes
Enumeration DateNovember 18, 2008
NPI 1558516559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · G5165
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
65 KNOLL RD, San Rafael, CA 94901

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. Bertram G Katzung 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.

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 Bertram Katzung's NPI number?

The NPI number for Bertram Katzung is 1558516559. It was assigned to this individual provider in the NPPES registry on November 18, 2008.

Where is Bertram Katzung located?

Bertram Katzung practices at 65 Knoll Rd, San Rafael, CA 94901. The listed phone number is (415) 456-5812.

What is Bertram Katzung's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Bertram Katzung enrolled in Medicare?

Yes. Bertram Katzung is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bertram Katzung was last updated on November 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.