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Bertram Providence, M.D. — NPI 1174512057, Honolulu, HI | NPI Central

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NPI 1174512057

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Bertram Providence, M.D.

NPI 1174512057 · Adult Reconstructive Orthopaedic Surgery Physician · Honolulu, HI

Provider details

NPI number: 1174512057
Entity type: Individual
Primary specialty: Adult Reconstructive Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: MD-11256 (HI)

Specialties & taxonomies

Adult Reconstructive Orthopaedic Surgery PhysicianPrimary207XS0114XLicense MD-11256 (HI)
Allopathic & Osteopathic Physicians

Practice location

459 Patterson Rd

Honolulu, HI 96819-1522

Phone: (808) 433-0600

Approximate (ZIP-level) locationGet directions

More HI providers

Mailing address

459 Patterson Rd

Honolulu, HI 96819-1522

Additional practice locations (1)

1 Jarrett White Road
Tamc, HI 96819
Phone: (808) 433-5551

Registry dates

Enumerated: 2005-10-14
Last updated: 2024-05-30
Certified: 2024-05-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.