Bertram C. Providence, M.D.
Adult Reconstruction (Joints) · Honolulu, HI
UnclaimedM.D.NPI 1174512057
- Primary taxonomy
- 207XS0114X
- Enumerated
- 2005-10-14
- Practice location
- Honolulu, HI
- Last NPPES update
- 2024-05-30
State licenses
- HI · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.