Healthcare Provider Details

I. General information

NPI: 1427342146
Provider Name (Legal Business Name): ALDO FABRIZIO BERTI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2011
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 MORRIS ST NE STE A
ALBUQUERQUE NM
87111-3605
US

IV. Provider business mailing address

4101 MORRIS ST NE STE A
ALBUQUERQUE NM
87111-3605
US

V. Phone/Fax

Practice location:
  • Phone: 505-238-4547
  • Fax: 505-544-2865
Mailing address:
  • Phone: 505-238-4547
  • Fax: 505-544-2865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License NumberMD2018-0189
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD2018-0189
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: