KENNETH P. BARTOLD M.D. – NPI #1265471072
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

KENNETH BARTOLD is a radiologist located in DEARBORN, MI. NPPES has assigned the NPI number 1265471072 to KENNETH BARTOLD on June 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 19 years ago on Aug 09, 2007. 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 KENNETH BARTOLD below.

NPI Profile for
KENNETH P. BARTOLD

NPI Number
1265471072
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KENNETH P. BARTOLD
Credentials
M.D.
Primary location
840 OAKWOOD BLVD
DEARBORN, MI 48124-2319
Phone: (313) 359-7650 Fax: (313) 359-7660
Mailing address
PO BOX 2802
DEARBORN, MI 48123-2929
Phone: (313) 359-7650 Fax: (313) 359-7660
Sole Proprietor
No
Updated
Identifiers

Identifiers for KENNETH BARTOLD

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
MEDICAIDMI1814953
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
MI 4301048570

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.