Provider Demographics
NPI:1437031036
Name:YODER, BERTHA (CPM)
Entity type:Individual
Prefix:
First Name:BERTHA
Middle Name:
Last Name:YODER
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4746 GA HIGHWAY 128
Mailing Address - Street 2:
Mailing Address - City:OGLETHORPE
Mailing Address - State:GA
Mailing Address - Zip Code:31068-4171
Mailing Address - Country:US
Mailing Address - Phone:478-952-2886
Mailing Address - Fax:
Practice Address - Street 1:2997 GA HIGHWAY 128
Practice Address - Street 2:
Practice Address - City:OGLETHORPE
Practice Address - State:GA
Practice Address - Zip Code:31068-4529
Practice Address - Country:US
Practice Address - Phone:478-952-2886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACPM25070796176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife