MICHAEL BERTOCH CRNA
NPI 1609955129
Nurse Anesthetist, Certified Registered in Idaho Falls, ID

Q: What is Michael Bertoch's NPI number?

The NPI number for Michael Bertoch is 1609955129. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Q: What is Michael Bertoch's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Bertoch was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 November 03, 2006

2325 CORONADO ST, IDAHO FALLS, ID 83404(208) 557-2700 Get Directions Write a Review

NPPES record last updated: October 31, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Michael Bertoch Crna NPPES

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

MICHAEL BERTOCH CRNA (NPI 1609955129) is an individual nurse anesthetist, certified registered in Idaho Falls, Idaho, licensed in Idaho (RNA255) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1609955129

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMICHAEL BERTOCHCredential: CRNA

Location Address2325 CORONADO STIdaho Falls, ID 83404-7407

Mailing AddressPo Box 3206Idaho Falls, ID 83403-3206 · (208) 523-4906 · Fax (208) 523-2025

Phone(208) 557-2700

Sole ProprietorNo

Enumeration DateNovember 3, 2006

Last NPPES UpdateOctober 31, 2007

✔ NPI 1609955129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in ID · RNA255

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

2325 CORONADO ST, Idaho Falls, ID 83404

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Other Identifiers 1

Medicare PIN1610557ID

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. MORGAN TIUS GARRIOTT MSN, APRN, CNP, FNP

Nurse Practitioner (Family)