Individual provider · Type 1 NPI

Nicole Bertram, PA

Physician Assistant · Jbsa Lackland, TX

NPI number 1073299236 Active

Practice location

1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638

Call (210) 292-5000 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA17014 (TX)
Medical Physician Assistant 363AM0700XNone listed

Physician Assistant: 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, orde…

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About NPI 1073299236

Nicole Bertram, PA's National Provider Identifier is 1073299236, issued on Jun 23, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Apr 10, 2026.