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

Bertram Pride

Individual provider Licensed Practical Nurse · NPI 1518593110

Bertram Pride is a Licensed Practical Nurse in Park City, Utah. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020

Practice location Address checks out

1640 Redstone Center Dr
Park City, UT 84098-7605
Phone: (214) 264-9711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703111838 (MI)

Record details

NPI number1518593110
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 16, 2020
Last updated in NPPESMarch 16, 2020
Certification dateMarch 16, 2020