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
Mailing address8931 Pardee Rd, Taylor, MI 48180-2741