Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jerry Russell Bartleson, MD

Individual provider Emergency Medicine Physician · NPI 1386686376

Dr. Jerry Russell Bartleson, MD is an Emergency Medicine in Tully, New York. Qualified in 1983, 43 years ago. Practices with Cook County Hospital District, a 14-clinician group and works from 2 locations. Licensed in Minnesota, New York, Pennsylvania and Wisconsin.

Years since qualifying
43
Licensed in
MN, NY, PA, WI
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

7434 Song Lake Rd
Tully, NY 13159-9211
Phone: (315) 569-6329
Fax: (315) 696-5539
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 Pine St, Renovo, PA 17764-1620 — (570) 923-1000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 163749 (NY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 31435 (MN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 28860 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD446096 (PA)

Record details

NPI number1386686376
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Cook County Hospital District — 14 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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