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
Mailing address189 Governor St, Providence, RI 02906

Other providers in Providence