MEDICARE: TOBIAS MOELLER-BERTRAM MD CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1063309375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOBIAS MOELLER-BERTRAM MD CORPORATION

Provider Business Mailing Address
First Line	:	44630 MONTEREY AVE STE 100
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260-3326
Country	:	US
Telephone Number	:	800-285-3755
Fax Number	:

Provider Business Practice Location Address
First Line	:	1117 N PALM CANYON DR
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4401
Country	:	US
Telephone Number	:	760-318-0505
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TOBIAS MOELLER-BERTRAM
Credential	:	MD
Telephone Number	:	800-285-3755

Provider Enumeration Date	:	06/19/2025
Last Update Date	:	08/22/2025

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