DR. MARY E BERTRAND (MD) – Epilepsy Physician, NPI 1740211986

DR. MARY E BERTRAND (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 103319 (MO). The NPI Number for DR. MARY E BERTRAND (MD) is 1740211986

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY E BERTRAND (MD)
NPI
1740211986
Phone
(314) 362-1408
Address
660 S EUCLID AVE
Enumeration Date
5 July 2006
Last Update Date
15 April 2025

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3143621408
Graduation Year
1993 (33 years ago)
PAC ID
8921101064
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20070312000101
Address ID
MO631101111SA4455XAVEX300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

811 NEUROLOGY in MO

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Provider Addresses for DR. MARY E BERTRAND (MD)

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    CB 8111

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-1408

    Fax: (314) 454-2523

    Type: Mailing

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 454-6120

    Fax: (314) 454-4225

    Type: Mailing

  • Saint Louis Childrens Hospital School, 1, Children's Place, Central West End, City of Saint Louis, Missouri, 63110, United States

    DIV NEUROLOGY PEDIATRICS, STE 2130

    SAINT LOUIS, MO 631101002

    Phone: (314) 454-6120

    Fax: (314) 454-4225

    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: 2007-03-12

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
I20070312000101INeurologyMOTBD

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 63110)

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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: 9830008770View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. MARY E BERTRAND (MD)?
The registry entry for DR. MARY E BERTRAND (MD) shows NPI 1740211986.
Does the public listing show DR. MARY E BERTRAND (MD) as active?
DR. MARY E BERTRAND (MD)'s NPI record reflects an active status in NPPES.
What services align with DR. MARY E BERTRAND (MD)'s listing?
DR. MARY E BERTRAND (MD)'s public classification highlights Epilepsy Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. MARY E BERTRAND (MD) in Saint Louis, Missouri?
For routing, start with Saint Louis, Missouri for DR. MARY E BERTRAND (MD), then verify phone and hours locally.
Who maintains DR. MARY E BERTRAND (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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