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

Mary Bernadette Fortini, DO

Individual provider Pediatrics Physician · NPI 1689025702

Mary Bernadette Fortini, DO is a Pediatric Medicine in Salt Lake City, Utah. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in Nebraska and Utah.

Years since qualifying
10
Licensed in
NE, UT
In the registry since
2016
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125
Phone: (801) 213-3599
Fax: (015) 853-7898
Show map & directions

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

Specialties & licences

Pediatric Infectious Diseases Physician (primary) Taxonomy 2080P0208X · Licence 12831176-1204 (UT)
Pediatrics Physician Taxonomy 208000000X · Licence 7826 (NE)

Record details

NPI number1689025702
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 30, 2016
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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