MR. ROBERT J BERTOT (PA-C) – Medical Physician Assistant, NPI 1124096946

MR. ROBERT J BERTOT (PA-C) is a healthcare provider. based in Doral, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9104718 (FL). The NPI Number for MR. ROBERT J BERTOT (PA-C) is 1124096946

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
MR. ROBERT J BERTOT (PA-C)
NPI
1124096946
Phone
(786) 888-8820
Address
9500 NW 58th St
Enumeration Date
8 March 2006
Last Update Date
26 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9548371300
Graduation Year
2008 (18 years ago)
PAC ID
8628106267
Group Practice PAC ID
7517966534
Professional Enrollment ID
I20100503000357
Address ID
FL330271220PE15885BLVD300

Contacts

Secure Messaging
rbertot13980@MHSDIRECT.NET
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MR. ROBERT J BERTOT (PA-C)

  • 9500 NW 58th St

    Doral, FL 331784732

    Phone: (786) 888-8820

    Type: Location

  • 14591 SW 26th St

    Miami, FL 331758038

    Phone: (786) 888-8820

    Type: Location

  • 14150 SW 136TH ST

    MIAMI, FL 331865506

    Phone: (786) 888-8820

    Type: Location

  • 10535 NW 43RD TER

    DORAL, FL 331782265

    Phone: (786) 514-8893

    Type: Mailing

  • 9630, Northwest 45th Lane, Doral, Miami-Dade County, Florida, 33178, United States

    DORAL, FL 331784007

    Phone: (305) 406-2128

    Type: Mailing

  • Memorial Hospital West, 703, North Flamingo Road, Pembroke Pines, Broward County, Florida, 33028, United States

    PEMBROKE PINES, FL 33028

    Phone: (954) 844-9000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-05-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100503000357IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33178)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517966534View full group profile
NameSpecialtyState
Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Family PracticeFL
Family PracticeFL
Family PracticeFL
Emergency MedicineFL
Family PracticeFL
Internal Medicine, Geriatric MedicineFL

Reviews

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Frequently asked questions

Where can patients find MR. ROBERT J BERTOT (PA-C)'s NPI?
You can confirm MR. ROBERT J BERTOT (PA-C) with NPI 1124096946; it appears in the national provider directory.
Does this profile mean MR. ROBERT J BERTOT (PA-C) is currently active?
Yes — MR. ROBERT J BERTOT (PA-C) appears active in the national provider directory.
What field does MR. ROBERT J BERTOT (PA-C) work in?
You can think of MR. ROBERT J BERTOT (PA-C) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. ROBERT J BERTOT (PA-C)?
The page summarizes Doral, Florida for MR. ROBERT J BERTOT (PA-C); expand the address list for detail.
Is MR. ROBERT J BERTOT (PA-C) a real provider?
This page reflects official NPPES data for NPI 1124096946. Always confirm identity and privileges with the practice and licensing boards.

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