WOODBURY BONE AND JOINT
NPI 1942598016
Orthopaedic Surgery in Woodbury, MN

Active since July 11, 2011
2025 WOODLANE DR, WOODBURY, MN 55125(651) 492-6762 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Woodbury Bone And Joint NPPES

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

WOODBURY BONE AND JOINT (NPI 1942598016) is a healthcare organization registered as an orthopaedic surgery in Woodbury, Minnesota and active in the NPI registry since July 2011. The organization maintains a secondary practice location in Woodbury and lists Jack M Bert, President, as its authorized official.

NPPES Registry Identity

NPI1942598016
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameJACK M BERT MD PA
Location Address2025 WOODLANE DRWoodbury, MN 55125-2987
Mailing Address2025 Woodlane DrWoodbury, MN 55125-2987 · (651) 492-6762
Organization SubpartNo
Authorized OfficialJack M BertPresident · (651) 491-9303
Enumeration DateJuly 11, 2011
Last NPPES UpdateJanuary 15, 2019
✔ NPI 1942598016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MN · 21554
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2025 WOODLANE DR, Woodbury, MN 55125

Other Names 1

Doing Business AsWoodbury Bone And Joint

Secondary Practice Location 1

Location 11875 Woodwinds Dr, Suite 240Woodbury, MN 55125-2298 · Phone (651) 491-9303

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Woodbury Bone And Joint is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20121015000375Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Woodbury Bone And Joint, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Orthopedic Surgery
NPI 1457310542
5829 WOODLANE BAY
Woodbury, MN 55129
(651) 491-9303
✔ PECOS✔ Accepts Medicare3.9 mi
Orthopedic Surgery
NPI 1356458988
640 JACKSON ST MC 11503L
Saint Paul, MN 55101
(651) 254-5701
✔ PECOS6.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jack M Bert MD PA's NPI number?

The NPI number for Jack M Bert MD PA is 1942598016. It was assigned to this organization in the NPPES registry on July 11, 2011. The provider is doing business as Woodbury Bone And Joint.

Where is Jack M Bert MD PA located?

Jack M Bert MD PA is located at 2025 Woodlane Dr, Woodbury, MN 55125. The listed phone number is (651) 492-6762.

What is Jack M Bert MD PA's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jack M Bert MD PA enrolled in Medicare?

Yes. Jack M Bert MD PA is registered in the Medicare PECOS enrollment system.

When is Jack M Bert MD PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jack M Bert MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Orthopedic Surgery, reassign their Medicare billing to Jack M Bert MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jack M Bert MD PA accept?

Health plans from Sanford Health Plan list Jack M Bert MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack M Bert MD PA was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.