Ellis M Berns
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Providence, RI
NPI 1376124164 · NPPES record last updated Apr 14, 2021
Key facts
- NPI
- 1376124164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 222 Richmond St
Providence, RI 02903-4228 - Phone
- (401) 863-3330
- NPI assigned
- Apr 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
222 Richmond St
Providence, RI 02903-4228
Mailing address
222 Richmond St
Providence, RI 02903-4228
Other providers in Providence, RI
- Hayley Bernier
- James C Bernier
- Jillian Bernier
- Nadia M Bernier
- Taylor Bernier
- Scott David Berns
- Emily Bernstein
- Ida M. Bernstein
- Marcy Ellen Bernstein
- Virginia Bernstein
All providers in Providence, RI · Student in an Organized Health Care Education/Training Program in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.