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Contact Information

MATTHEW S BERTUS, PA
4050 W MEMORIAL RD
THIRD FLOOR
OKLAHOMA CITY, OK73120-8382
 Phone: 405-608-3800
 Fax: 405-608-3838
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MATTHEW S BERTUS · (Male)

NPI Number 1093706368
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 11/04/2005
Last updated 09/09/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • OK License # 861
  • OK Medicaid 10011900A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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