Provider Demographics
NPI:1164497723
Name:KAPER, BERTRAND P (MD)
Entity Type:Individual
Prefix:DR
First Name:BERTRAND
Middle Name:P
Last Name:KAPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20401 N 73RD ST
Mailing Address - Street 2:STE 135
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-4148
Mailing Address - Country:US
Mailing Address - Phone:480-305-0034
Mailing Address - Fax:480-361-3540
Practice Address - Street 1:20401 N 73RD ST STE 135
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255
Practice Address - Country:US
Practice Address - Phone:480-305-0034
Practice Address - Fax:480-361-3540
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ27483207XS0114X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ473520Medicaid
AZ200038363OtherRAILROAD MEDICARE
G92502Medicare UPIN
AZ61907Medicare ID - Type Unspecified