Bertus, Matthew S

Bertus, Matthew S is an individual health care provider with primary practice located at 4050 W Memorial Rd Third Floor, Oklahoma City OK 73120-8382. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bertus, Matthew S can be contacted via phone (405) 608-3800.

Contact Information

Primary practice address
4050 W Memorial Rd Third Floor Oklahoma City OK 73120-8382
Phone: (405) 608-3800
Fax: (405) 608-3838
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 861 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 861 Oklahoma

Profile Details

NPI number 1093706368
LBN Legal business name Bertus, Matthew S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Sep 9th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093706368 NPPES
Oklahoma MEDICAID 10011900A

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