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Deactivated NPI 1841227527 Deactivated / Inactive NPI Male Practitioner

Dr. Randall Debenneville Bertolette , MD

Pediatrics • Fort Pierce, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Randall Bertolette has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 27, 2006
NPI Deactivation Date December 09, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Randall Bertolette, MD was a registered Pediatrics practicing in Fort Pierce, FL. Throughout an active medical career spanning 14 years, Dr. Bertolette provided care at the practice location at 3209 VIRGINIA AVE until profile deactivation on 2020-12-09.

Practice Location & Contact Primary Location

Practice Address

3209 Virginia Ave
Florida State U. College Of Medicine, Ft. Pierce Campus

Fort Pierce, FL 349815541

Telephone 7724640034
Fax 7724640984

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fort Pierce, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Fort Pierce, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL 32594

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1336033935

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 09, 2020

Record deactivated on December 09, 2020

NPI Profile Active October 15, 2008

NPI status registered as active in NPPES database

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Updated Practice Location October 15, 2008

Registered at 3209 VIRGINIA AVE, FLORIDA STATE U. COLLEGE OF MEDICINE, FT. PIERCE CAMPUS, FORT PIERCE, FL 349815541 (Tel: 7724640034)

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Updated Business Mailing Address October 15, 2008

Registered at 3209 VIRGINIA AVE, FLORIDA STATE U. COLLEGE OF MEDICINE, FT. PIERCE CAMPUS, FORT PIERCE, FL 349815541 (Tel: 7724640034)

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Provider Name / Credentials Updated October 15, 2008

Recorded as RANDALL BERTOLETTE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2008

Pediatrics (License #32594 in FL)

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Initial NPI Registration & Enumeration June 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841227527
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2006
Last Update: October 15, 2008
Deactivation Date: December 09, 2020

Mailing Address

3209 Virginia Ave, Florida State U. College Of Medicine, Ft. Pierce Campus

Fort Pierce, FL 349815541

Phone: 7724640034

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.