Bertram A Flaxman, MD
Dermatology in Providence, Rhode Island
1962578617- Practice location
- 189 Governor St, Providence, RI 02906
- Phone
- 401-331-1008
- Fax
- 401-861-6761
- Last updated
- March 24, 2011
Bertram Allen Flaxman is a Dermatology based in Providence, RI. Bertram Allen Flaxman practices in Providence, RI and has the professional credentials of MD. The NPI Number for Bertram Allen Flaxman is 1962578617 and holds a License No. RI4029 (RI). The current practice location address for Bertram Allen Flaxman is 189 Governor St, Providence, RI 02906 and can be reached out via phone at 401-331-1008 and via fax at 401-861-6761.
Provider Profile Details
- NPI Number
- 1962578617
- Provider Name
- Bertram Allen Flaxman
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 189 Governor St, Providence, RI 02906
- Phone Number
- 401-331-1008
- Fax Number
- 401-861-6761
- Primary Taxonomy
- Dermatology · 207N00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 27, 2006
- Last Update Date
- March 24, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 189 Governor St
Providence, RI 02906 - City
- Providence
- State
- Rhode Island
- Zip
- 02906
- Phone Number
- 401-331-1008
- Fax Number
- 401-861-6761
Provider Business Mailing Address Details
- Address
- 189 Governor St
Providence, RI 02906 - City
- Providence
- State
- RI
- Zip
- 02906
- Phone Number
- 401-331-1008
- Fax Number
- 401-861-6761
License Information
- License Number (1)
- RI4029
- License State (1)
- RI
- Taxonomy (1)
- Dermatology · 207N00000X · Primary
- License Number (2)
- 28301
- License State (2)
- MA
- Taxonomy (2)
- Dermatology · 207N00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology providers near Providence, RI
View all Dermatology providers in Providence →Frequently Asked Questions
What is the NPI number of Bertram A Flaxman, MD?
The NPI number of Bertram A Flaxman, MD is 1962578617. It was assigned on November 27, 2006 and is currently active in the NPPES registry.
What is the specialty of Bertram A Flaxman, MD?
Bertram A Flaxman, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in RI under license number RI4029.
Where does Bertram A Flaxman, MD practice?
The practice location is 189 Governor St, Providence, RI 02906. The office can be reached at 401-331-1008 (phone) or 401-861-6761 (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 1962578617 directly on the NPPES registry website.