MEDICARE: BERTRAM DAVID KAPLAN M.D.

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	207N00000X	Dermatology Physician	11193	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548238348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BERTRAM DAVID KAPLAN M.D.

Provider Business Mailing Address
First Line	:	6401 POPLAR AVE STE 405
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-4840
Country	:	US
Telephone Number	:	901-754-6362
Fax Number	:	901-681-4208

Provider Business Practice Location Address
First Line	:	6401 POPLAR AVE STE 405
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-4840
Country	:	US
Telephone Number	:	901-754-6362
Fax Number	:	901-681-4208

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	01/07/2026

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