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

Ellis M Berns

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376124164

Ellis M Berns is a Student in an Organized Health Care Education/Training Program in Providence, Rhode Island. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

222 Richmond St
Providence, RI 02903-4228
Phone: (401) 863-3330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1376124164
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 14, 2021
Last updated in NPPESApril 14, 2021
Certification dateApril 14, 2021
Mailing address222 Richmond St, Providence, RI 02903-4228

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