Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEONARD R BERTHEAU, D.O.
ActiveLEONARD R BERTHEAU, D.O. is a 207QD0401X healthcare provider located in PAWTUCKET, Rhode Island. NPI 1912079500 is currently active in the NPPES registry. Verify at CMS.
207QD0401X · PAWTUCKET, RI
Registration Details
- NPI Number
- 1912079500
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2006 (19.714255229812 yrs)
- Last Updated
- Dec 18, 2025
- Licenses
-
DO01307 (RI)DO01307 (RI)
Practice Information
- Address
-
111 BREWSTER STPAWTUCKET, RI, 028604400Browse RI providers · Browse ZIP 02860
- Phone
- 4017292304
- Fax
- 4017292923
- Primary Specialty
-
207QD0401X
207QD0401X
- Additional Specialty
- 207QD0401X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.