Search › Hawaii › 207XS0114X
Bertram Providence, M.D
NPI 1174512057 · on the registry since 2005
Practice
- Address
- 459 Patterson Rd
Honolulu, HI 96819 - Phone
- (808) 433-0600
- Organisation at this address
- Honolulu Vamc
Honolulu Vamc
Dept Of Veterans Affairs
Dept. Of Veterans Affairs
Department Of Veterans AffairsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 634
Additional practice sites
- 1 Jarrett White Road, Tamc, HI
Registry record
- Primary taxonomy
- 207XS0114X
207XS0114X
- Licence states on file
- HI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii