Leonard R Bertheau, DO
Healthcare Provider in Pawtucket, Rhode Island
1912079500- Practice location
- 111 Brewster St, Pawtucket, RI 02860-4400
- Phone
- 401-729-2304
- Fax
- 401-729-2923
- Last updated
- December 18, 2025
Leonard R Bertheau is a Healthcare Provider based in Pawtucket, RI. Leonard R Bertheau practices in Pawtucket, RI and has the professional credentials of DO. The NPI Number for Leonard R Bertheau is 1912079500 and holds a License No. DO01307 (RI). The current practice location address for Leonard R Bertheau is 111 Brewster St, Pawtucket, RI 02860-4400 and can be reached out via phone at 401-729-2304 and via fax at 401-729-2923.
Provider Profile Details
- NPI Number
- 1912079500
- Provider Name
- Leonard R Bertheau
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 111 Brewster St, Pawtucket, RI 02860-4400
- Phone Number
- 401-729-2304
- Fax Number
- 401-729-2923
- Primary Taxonomy
- Healthcare Provider · 207QD0401X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 15, 2006
- Last Update Date
- December 18, 2025
- Certification Date
- December 18, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Brewster St
Pawtucket, RI 02860-4400 - City
- Pawtucket
- State
- Rhode Island
- Zip
- 02860-4400
- Phone Number
- 401-729-2304
- Fax Number
- 401-729-2923
Provider Business Mailing Address Details
- Address
- 455 Toll Gate RD
Warwick, RI 02886-2759 - City
- Warwick
- State
- RI
- Zip
- 02886-2759
- Phone Number
- 401-273-0641
- Fax Number
- 401-273-2919
License Information
- License Number (1)
- DO01307
- License State (1)
- RI
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- DO01307
- License State (2)
- RI
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Leonard R Bertheau, DO?
The NPI number of Leonard R Bertheau, DO is 1912079500. It was assigned on November 15, 2006 and is currently active in the NPPES registry.
What is the specialty of Leonard R Bertheau, DO?
Leonard R Bertheau, DO is registered under the primary taxonomy Healthcare Provider (code 207QD0401X), licensed in RI under license number DO01307.
Where does Leonard R Bertheau, DO practice?
The practice location is 111 Brewster St, Pawtucket, RI 02860-4400. The office can be reached at 401-729-2304 (phone) or 401-729-2923 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912079500 directly on the NPPES registry website.