Eddrena Bertram, PHLEBOTOMIST TECH

ActiveIndividual ProviderSpecialty not listed
NPI issued: March 1, 2025

Quick Facts

NPI Number
1104623701
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy246RP1900X — Specialty not listed
Phone
(888) 293-8008
StateAZ

NPI Validation Status: Verified

Valid 10-digit NPI number (1104623701)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (March 1, 2025)
Data source: CMS NPPES

Provider Overview

EDDRENA BERTRAM, PHLEBOTOMIST TECH is a Healthcare provider based in Glendale, AZ who has been registered with CMS since 2025. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104623701
Provider TypeIndividual Provider
GenderFemale
CredentialPHLEBOTOMIST TECH
StatusActive
Enumeration DateMarch 1, 2025

Practice Location

CityGlendale
StateAZ
ZIP Code85305-3155
Phone(888) 293-8008

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code246RP1900X
License StateAZ

Mailing Address

CityGlendale
StateAZ
ZIP Code85305-3155
Phone(888) 293-8008
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104623701 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104623701for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104623701 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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3,576
Specialty not listed Providers in the US

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People Also Ask

What is Eddrena Bertram's NPI number?
Eddrena Bertram's NPI number is 1104623701, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Eddrena Bertram's NPI currently active?
Yes, Eddrena Bertram's NPI status is Active as of the latest CMS NPPES database updates.
What does Eddrena Bertram specialize in?
Eddrena Bertram specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 246RP1900X.
Where does Eddrena Bertram practice?
Eddrena Bertram practices in Glendale, AZ 85305-3155.
When was Eddrena Bertram's NPI issued?
Eddrena Bertram's NPI was issued on March 1, 2025.
What is Eddrena Bertram's provider type?
Eddrena Bertram is registered as an Individual Provider under CMS NPI Type 1.