CHARLES J. BERTUCH, JR. M.D. – NPI #1316056013
Independent Medical Examiner

A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.

CHARLES BERTUCH, JR. is an independent medical examiner located in FORT COLLINS, CO. NPPES has assigned the NPI number 1316056013 to CHARLES BERTUCH, JR. on August 29, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 202C00000X from the Health Care Provider Taxonomy code set, which is classified as Independent Medical Examiner.

The NPI profile was previously updated about 7 years ago on May 03, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES BERTUCH, JR. below.

NPI Profile for
CHARLES J. BERTUCH, JR.

NPI Number
1316056013
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHARLES J. BERTUCH, JR.
Credentials
M.D.
Primary location
1120 E ELIZABETH STREET
FORT COLLINS, CO 80524
Phone: (970) 493-9193 Fax: (970) 639-4475
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for CHARLES BERTUCH, JR.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBSH NE NYNY000405418002
OTHERMVP HEALTHPLANNY18111
OTHERRAILROAD MEDICARE0000CM0523
MEDICAIDNY00553493
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
202C00000X
- Independent Medical Examiner (Primary)
NY 099426
2083A0300X
- Preventive Medicine / Addiction Medicine
CO DR.0052261
174400000X
- Specialist
NY 99421-1

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.