Dr. Max Erwin Bertholf , MD
General Practice • Roanoke, VA
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. Max Bertholf has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Max Bertholf, MD was a registered General Practice practicing in Roanoke, VA. Throughout an active medical career spanning 17 years, Dr. Bertholf provided care at the practice location at 498 COYNER SPRINGS RD until profile deactivation on 2025-03-06.
Practice Location & Contact Primary Location
498 Coyner Springs Rd
Roanoke Valley Juvenile Detention Center, Med. Director
Roanoke, VA 240129038
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Roanoke, VA
Practicing in Roanoke, VA (440 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 06, 2025
NPI status registered as active in NPPES database
Registered at 498 COYNER SPRINGS RD, ROANOKE VALLEY JUVENILE DETENTION CENTER, MED. DIRECTOR, ROANOKE, VA 240129038 (Tel: 5405613840)
Registered at 200 THE GLEBE BLVD, #3010, DALEVILLE, VA 240833726 (Tel: 5405912333)
Recorded as MAX BERTHOLF, M.D.
General Practice (License #0101012335 in VA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
200 The Glebe Blvd, #3010
Daleville, VA 240833726
Phone: 5405912333
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