Healthcare Provider Details

I. General information

NPI: 1023410941
Provider Name (Legal Business Name): BERTRAM D KAPLAN MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2014
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6401 POPLAR AVE STE 405
MEMPHIS TN
38119-4840
US

IV. Provider business mailing address

6401 POPLAR AVE STE 405
MEMPHIS TN
38119-4840
US

V. Phone/Fax

Practice location:
  • Phone: 901-754-6362
  • Fax: 901-681-4208
Mailing address:
  • Phone: 901-754-6362
  • Fax: 901-681-4208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberC-5355
License Number StateAR

VIII. Authorized Official

Name: BERTRAM D KAPLAN
Title or Position: OWNER/PROVIDER
Credential: M.D.
Phone: 870-735-6430