IndividualActive
Leonard Bertheau, D.O.
NPI 1912079500 · Diabetology (Family Medicine) Physician · Pawtucket, RI
Provider details
- NPI number
- 1912079500
- Entity type
- Individual
- Primary specialty
- Diabetology (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- DO01307 (RI)
Practice location
111 Brewster St
Pawtucket, RI 02860-4400
Phone: (401) 729-2304
Fax: (401) 729-2923
Mailing address
455 Toll Gate Rd
Warwick, RI 02886-2759
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2025-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.