Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bertram Allen Flaxman, MD

Individual provider Dermatology Physician · NPI 1962578617

Bertram Allen Flaxman, MD is a Dermatology Physician in Providence, Rhode Island. Licensed in Massachusetts and Rhode Island. Registered with an NPI since 2006.

Licensed in
MA, RI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

189 Governor St
Providence, RI 02906
Phone: (401) 331-1008
Fax: (401) 861-6761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence RI4029 (RI)
Dermatology Physician Taxonomy 207N00000X · Licence 28301 (MA)

Record details

NPI number1962578617
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 27, 2006
Last updated in NPPESMarch 24, 2011

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