Nicole Bertram, PA

Physician assistant in Hondo, Texas · NPI 1073299236

Nicole Bertram is one of 2 physician assistants practicing in Hondo, Texas. See all physician assistants in Texas. Nicole Bertram practices with M Reza Mizani MD PA.

Registry record (NPPES)

NPI: 1073299236
Type: Type 1 · Individual
Primary taxonomy: Physician Assistant · 363A00000X
Address on file: 1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
(210) 292-5000
Enumerated: Jun 23, 2023
Record last updated: Apr 10, 2026
License states listed: NULL, TX

Medicare (CMS)

Enrollment: Medicare-enrolled in TX
Physician Assistant
Revalidation due: No date set by CMS

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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history

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Practice locations

205 22nd St
Hondo, TX 78861
(210) 614-7900

More physician assistants in Hondo

Sarahy Oramas, PA-C

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.