Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912394776 Individual Practitioner Male Practitioner

Dr. Thomas Mark Bertagnoli , DO

Pediatrics • Wright Patterson Afb, OH

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Bertagnoli, DO is a registered healthcare professional specializing in Pediatrics in Wright Patterson Afb, OH. Practice services are available at 4881 SUGAR MAPLE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4881 Sugar Maple Dr

Wright Patterson Afb, OH 454335529

Telephone 9372579612
Associated Practice Facility / Clinic
🏢 United States Air Force Facility NPI 1407842347

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Wright Patterson Afb, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Wright Patterson Afb, OH (3057 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

CMS Verified: 2023-08-01
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NE 1611

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

17 Associated Practitioners
Dr. Alyssa Fowler , MD

Student in an Organized Health Care Education/Training Program

NPI 1013736552

Doctor of Medicine (M.D.)

Austin Brokamp

Internal Medicine - Cardiovascular Disease

NPI 1184111346
Dr. Nimisha Rajesh , PsyD

Psychologist - Clinical

NPI 1265215933

Doctor of Psychology (Psy.D.)

Chelsea Orr , OTR, L

Occupational Therapist

NPI 1316324619

Occupational Therapist Registered, L

Laura Segovia , CNM

Advanced Practice Midwife

NPI 1326415167

Certified Nurse Midwife

Latasha Johnson , PA-C

Physician Assistant - Medical

NPI 1326463639

Physician Assistant (Certified)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Business Mailing Address August 03, 2023

Registered at 88MDG/SGHJ, 4881 SUGAR MAPLE DR, WRIGHT-PATTERSON AFB, OH 454335529

📍
Updated Practice Location July 25, 2022

Registered at 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 454335529 (Tel: 9372579612)

📍
Updated Business Mailing Address July 25, 2022

Registered at 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 454335529

📍
Updated Practice Location July 16, 2019

Registered at RAF LAKENHEATH 48MDG, UNIT 5115, APO, AE 09461 (Tel: 0112268408)

📍
Updated Business Mailing Address July 16, 2019

Registered at RAF LAKENHEATH 48 MDG/SGHC, UNIT 5115, APO, AE 094615115

📍
Updated Practice Location July 03, 2018

Registered at 4881 SUGAR MAPLE DR, WPAFB, OH 45433 (Tel: 9375224797)

📍
Updated Business Mailing Address July 03, 2018

Registered at 4881 SUGAR MAPLE DR, WPAFB, OH 454335529 (Tel: 9375224797)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2018

Pediatrics (License #1611 in NE)

NPI Profile Active April 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 20, 2015

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041873 (Tel: 9376413433)

📍
Updated Business Mailing Address April 20, 2015

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041873 (Tel: 9376413433)

👤
Provider Name / Credentials Updated April 20, 2015

Recorded as THOMAS BERTAGNOLI, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 20, 2015

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: 1912394776
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2015
Last Update: August 03, 2023
Sole Proprietor: Yes

Mailing Address

88mdg/sghj, 4881 Sugar Maple Dr

Wright-Patterson Afb, OH 454335529

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.