DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. BRUCE KENNETH BERTRAND M.D.

MEDICARE: DR. BRUCE KENNETH BERTRAND M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician71895MA
22085R0202XDiagnostic Radiology Physician34342NH
32085U0001XDiagnostic Ultrasound Physician71895MA
42085R0202XDiagnostic Radiology Physician199697NY

General Provider Information

NPI Number : 1215918891
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRUCE KENNETH BERTRAND M.D.
Provider Business Mailing Address
First Line : PO BOX 175
Second Line :
City : RINDGE
State : NH
Zip : 03461-0175
Country : US
Telephone Number : 508-450-3899
Fax Number :
Provider Business Practice Location Address
First Line : 110 LIBERTY ST
Second Line :
City : BROCKTON
State : MA
Zip : 02301-5674
Country : US
Telephone Number : 508-565-3275
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2005
Last Update Date : 12/07/2025

Similar Medicare Providers

1972901569 — BRENDA JEAN DOS SANTOS FNP
Practice Location Address:
110 LIBERTY ST
BROCKTON, MA
02301-5674
Practice Phone: 508-941-7100
Practice Fax:
1114927670 — NATASHA BITA KHAZAI MD
Practice Location Address:
110 LIBERTY ST
BROCKTON, MA
02301-5674
Practice Phone: 508-894-0400
Practice Fax:
1174515183 — PADMAJA PARAYATH MD
Practice Location Address:
110 LIBERTY ST
BROCKTON, MA
02301-5674
Practice Phone: 508-565-0025
Practice Fax: 508-894-0412
1770578932 — DINO C CONSTANTINOU MD
Practice Location Address:
110 LIBERTY ST
BROCKTON, MA
02301-5674
Practice Phone: 508-894-0400
Practice Fax: 508-894-0412
1447219886 — MRS. MICHELLE DIANE STEWMON FNP-BC
Practice Location Address:
110 LIBERTY ST
BROCKTON, MA
02301-5674
Practice Phone: 508-894-0400
Practice Fax:
1659319499 — MRS. JENNIFER FREITAS CARTER R.D.
Practice Location Address:
110 LIBERTY ST
BROCKTON, MA
02301-5674
Practice Phone: 508-894-0766
Practice Fax:

Directions to “ DR. BRUCE KENNETH BERTRAND M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.