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

Leonard R Bertheau, DO

Individual provider Family Medicine Physician · NPI 1912079500

Leonard R Bertheau, DO is a Family Practice in Pawtucket, Rhode Island. Graduated from Oklahoma State University College of Osteopathic Medicine in 2004, 22 years ago. Practices with Affinity Physicians LLC, a 734-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
22
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
RI
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

111 Brewster St
Pawtucket, RI 02860-4400
Phone: (401) 729-2304
Fax: (401) 729-2923
Show map & directions

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

Specialties & licences

Diabetology (Family Medicine) Physician (primary) Taxonomy 207QD0401X · Licence DO01307 (RI)
Family Medicine Physician Taxonomy 207Q00000X · Licence DO01307 (RI)

Record details

NPI number1912079500
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025
Mailing address455 Toll Gate Rd, Warwick, RI 02886-2759

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2004 (22 years in practice)
Group practice Affinity Physicians Llc. — 734 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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