Individual provider · Type 1 NPI

Benjamin Bertram, PA-C

Medical Physician Assistant · Lexington, KY

NPI number 1295590552 Active

Practice location

2108 Nicholasville Rd
Lexington, KY 40503-2502

Mailing address

156 Yamacraw Pl
Lexington, KY 40511-8839

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1295590552

Benjamin Bertram, PA-C's National Provider Identifier is 1295590552, issued on Feb 15, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lexington, KY. The record was last updated on Feb 15, 2024.