Nicole Bertram , PA
Physician Assistant • Jbsa Lackland, TX
Professional Overview & Biography Verified Profile Summary
Nicole Bertram, PA is a certified Physician Assistant practicing in Jbsa Lackland, TX. With approximately 3 years of clinical experience since graduating from San Juan Bautista School Of Medicine in 2023, Nicole Bertram delivers high-quality medical care to the local community at 1100 WILFORD HALL LOOP.
Nicole Bertram is affiliated with M Reza Mizani Md Pa and accepts Medicare assignment.
Practice Location & Contact Primary Location
1100 Wilford Hall Loop
Jbsa Lackland, TX 782365638
Medicare Profile & Education
San Juan Bautista School Of Medicine
2023
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Jbsa Lackland, TX
Practicing in Jbsa Lackland, TX (11140 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Medical Specialties & State Licenses
CMS Verified: 2026-04-10NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363AM0700X
Definition to come...
Hospital & Practice Group Affiliations
M Reza Mizani Md Pa
205 22nd St, Hondo, TX 788612520
Phone: 2106147900
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - Periodontics
Doctor of Dental Medicine
Dermatology
Doctor of Osteopathic Medicine (D.O.)
Ophthalmology - Cornea and External Diseases Specialist
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Osteopathic Medicine (D.O.)
Psychiatry & Neurology - Psychiatry
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 782365638 (Tel: 2102925000)
Registered at 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 782365638 (Tel: 2102925000)
Registered at 215 N SAN SABA STE 201A, SAN ANTONIO, TX 782073120 (Tel: 2105473430)
Registered at PO BOX 650002 DEPT 8286, DALLAS, TX 752650029 (Tel: 2106156626)
Physician Assistant (License #PA17014 in TX)
Registered at 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 782365638 (Tel: 2105232273)
Registered at 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 782365638
NPI status registered as active in NPPES database
Registered at 318 W LOOP 1604 N, SAN ANTONIO, TX 782453194 (Tel: 2105232273)
Registered at 318 W LOOP 1604 N, SAN ANTONIO, TX 782453194 (Tel: 2103300614)
Recorded as NICOLE BERTRAM, PA
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1100 Wilford Hall Loop
Jbsa Lackland, TX 782365638
Phone: 2102925000
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.