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BERTRAM HARRY PA-C
NPI 1902635626
Physician Assistant in Bronx, NY

Active since July 31, 2024PECOS Enrolled
111 E 210TH ST, BRONX, NY 10467(718) 920-4826 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2024, Nov 18, 2024, Jul 31, 2024 (3 updates tracked since 2024).

About Bertram Harry Pa-c NPPES

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

BERTRAM HARRY PA-C (NPI 1902635626) is an individual physician assistant in Bronx, New York, licensed in New York (032955-01) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902635626
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBERTRAM HARRYCredential: PA-C
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address13925 231st StLaurelton, NY 11413-2926 · (347) 277-3976
Phone(718) 920-4826
Sole ProprietorYes
Enumeration DateJuly 31, 2024
Last NPPES UpdateDecember 31, 20243 updates tracked since enumeration
NPPES CertifiedDecember 31, 2024
✔ NPI 1902635626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 032955-01
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 032955-01 (NY)
111 E 210TH ST, Bronx, NY 10467
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Secondary Practice Locations 2

Location 113925 231st StLaurelton, NY 11413-2926 · Phone (347) 277-3976
Location 28900 Van Wyck ExpyRichmond Hill, NY 11418-2832 · Phone (718) 206-6000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bertram Harry Pa-c 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 10467 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

DR. MADHU SHARMA MD
Pediatrics (Pediatric Cardiology)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Bronx County (718) 741-2538
DR. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Harry's NPI number?

The NPI number for Bertram Harry is 1902635626. It was assigned to this individual provider in the NPPES registry on July 31, 2024.

Where is Bertram Harry located?

Bertram Harry practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4826.

What is Bertram Harry's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bertram Harry enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bertram Harry was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.