Individual Healthcare Provider
Riley S Bertram
Provider's NPPES record last updated: August 18, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1942815063
- Primary Specialty
- Anesthesiologist Assistant
- Practice Location
- Grey Eagle, Minnesota
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 2:25 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Anesthesiologist Assistant
Physician Assistants & Advanced Practice Nursing Providers
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
Taxonomy code 367H00000X
Provider-Reported License Information
- Anesthesiologist Assistant (Wisconsin)
- 170
- Anesthesiologist Assistant (South Carolina)
- 117
Practice Locations
Practice Location
29792 Arden Dr
Grey Eagle, Minnesota 56336-4776
Phone: (612) 219-6180
Additional Practice Location
600 Highland Ave
Madison, Wisconsin 53792-0001
Phone: (608) 263-8100
Additional Practice Location
202 South Park Street
4 Tower
Madison, Wisconsin 53715
Phone: (608) 417-6676
Additional Practice Location
7 Independence PT Ste 300
Greenville, South Carolina 29615-4569
Phone: (864) 522-3700
Fax: (864) 522-3705
Record Information
- Enumeration Date
- September 15, 2020
- Provider's NPPES Record Last Updated
- August 18, 2026
- Certification Date
- August 18, 2026
- NPISignal NPPES Dataset
- August 2026
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