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

Thomas Mark Bertagnoli, DO

Individual provider Pediatrics Physician · NPI 1912394776

Thomas Mark Bertagnoli, DO is a Pediatrics Physician in Wright Patterson AFB, Ohio. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2015
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.

See every abbreviation used in this directory →

Practice location Address checks out

4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529
Phone: (937) 257-9612
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 1611 (NE)

Record details

NPI number1912394776
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 20, 2015
Last updated in NPPESAugust 3, 2023
Certification dateAugust 1, 2023
Mailing address88mdg/Sghj, 4881 Sugar Maple Dr, Wright-Patterson Afb, OH 45433-5529

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