Bruce Kenneth Bertrand · Diagnostic Radiology Physician

110 Liberty St, Brockton, MA 02301-5674

Overview

Bruce Kenneth Bertrand is a Diagnostic Radiology Physician practicing in Brockton, Massachusetts. The National Provider Identifier (NPI) is #1215918891, which was assigned on November 9, 2005, and the registration record was last updated on December 7, 2025. The practitioner's main practice location is at 110 Liberty St, Brockton, MA 02301-5674; the contact telephone number is 5085653275. The primary taxonomy of Bruce Kenneth Bertrand is Diagnostic Radiology Physician (2085R0202X), with specialization in Diagnostic Radiology. Bruce Kenneth Bertrand is licensed to practice in the state of New York (#199697), Massachusetts (#71895).

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider Information

NPI 1215918891
Entity Type Individual
Provider Name DR. BRUCE KENNETH BERTRAND
Gender Male
Credential M.D.
Practice Address 110 Liberty St
Brockton
MA 02301-5674
Practice Telephone 5085653275
Mailing Address Po Box 175
Rindge
NH 03461-0175
Mailing Telephone 5084503899
Certification Date 2025-12-07
Enumeration Date 2005-11-09
Last Update Date 2025-12-07
Is Sole Proprietor Y

Doctor and Clinician Information

PAC ID 1355307315
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name BRUCE BERTRAND
Medical School UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Primary Specialty DIAGNOSTIC RADIOLOGY
Organization Legal Name DARTMOUTH-HITCHCOCK CLINIC
Address 1 Medical Ctr Dr
Lebanon
NH 03756-1000

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N2085R0202XRadiologyDiagnostic Radiology199697NY
N2085U0001XRadiologyDiagnostic Ultrasound71895MA

Secondary Practice Locations

AddressTelephoneFax
1 Medical Center Dr, Lebanon, NH 0375600016036505000
110 Liberty St, Brockton, MA 0230156745085653275

Taxonomy Information

Primary Taxonomy

Code 2085R0202X
Taxonomy Diagnostic Radiology Physician
Classification Radiology
Specialization Diagnostic Radiology
Grouping Allopathic & Osteopathic Physicians
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Other Taxonomy

Code 2085U0001X
Taxonomy Diagnostic Ultrasound Physician
Classification Radiology
Specialization Diagnostic Ultrasound
Grouping Allopathic & Osteopathic Physicians
Definition: A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definition added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists - see Taxonomy Code 2085R0202X.]

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Provider NameAddressTaxonomyEnumeration Date
Chae Woon Lee 4815 Alameda Ave, El Paso, TX 79905-2705Diagnostic Radiology Physician2025-12-17
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Bradley Lorenz Miller Jr. 601 Us-6 W., Iowa City, IA 52246Diagnostic Radiology Physician2025-12-08
Gabrielle Marie Gill 3415 W End Ave Apt 912, Nashville, TN 37203-1062Diagnostic Radiology Physician2025-12-22
Know Your Body California PC 4440 Von Karman Ave Ste 100, Newport Beach, CA 92660-2011Diagnostic Radiology Physician2025-12-30
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Location Information

Street Address 110 LIBERTY ST
City BROCKTON
State MA
Zip Code 02301-5674
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Arthur P Carriere 110 Liberty Street, Brockton, MA 02301-5521Orthopaedic Surgery Physician2005-11-08
Signature Healthcare Medical Group, Inc. 110 Liberty St Ste B, Brockton, MA 02301-5674Community/Retail Pharmacy2022-11-18
Jennifer Freitas Carter · Jennifer Lee Freitas 110 Liberty St, Brockton, MA 02301-5674Registered Dietitian2006-06-03
Mackenzie Tatar · Mackenzie Bonner 110 Liberty St, Brockton, MA 02301-5674Physician Assistant2022-11-08
Ashley Rene'E Hamilton 110 Liberty St, Brockton, MA 02301-5674Family Nurse Practitioner2025-02-17
Janet C Testoni 110 Liberty St, Brockton, MA 02301-5674Registered Nurse2015-11-25
Signature Healthcare Medical Group Inc 110 Liberty St, Brockton, MA 02301-5674Pediatrics Physician2006-06-04
Matthew Yo Zin 110 Liberty St, Brockton, MA 02301-5674Family Medicine Physician2022-04-05
Richard Duong 110 Liberty St, Brockton, MA 02301Physician Assistant2016-10-21
Brenda Jean Dos Santos 110 Liberty St, Brockton, MA 02301-5674Nurse Practitioner2014-12-12
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Bruce J Kriegel 830 Oak St, Ste 205w, Brockton Cardiology Associates, Brockton, MA 02301Cardiovascular Disease Physician2006-07-19
Ck Wellness PLLC 529 Pearl Street, Brockton, MA 02301Psychiatry Physician2025-05-08
Forough Yazdanian Ghahfarokhi Good Samaritan Medical Center, 235 N Pearl St, Brockton, MA 02301Student in an Organized Health Care Education/Training Program2025-05-19
Andris Jason Zauls 818 Oak Street, Good Samaritan Radiation Oncology Center, Brockton, MA 02301Radiation Oncology Physician2007-04-16
Melissa Macdonald Cooper 1115 West Chestnut St, Brockton, MA 02301Specialist2006-12-20
Yi Tang Gsmc-Radiology Department, 235 North Pearl Street, Brockton, MA 02301Diagnostic Radiology Physician2009-03-14
Peter Sidhom Gsmc-Anesthesia Dept., 235 North Pearl Street, Brockton, MA 02301Anesthesiology Physician2018-07-09
Sara Ann La Grange · Sara Ann Ludin 1 Pearl St, Suite 2000, Brockton, MA 02301Surgery Physician2010-06-09
Jayalakshmi Punuri 235 North Pearl St, Gsmc - Hospitalists, Brockton, MA 02301Internal Medicine Physician2006-02-23
Alex Huh 1 Pearl Street, Ste. 2700, Brockton, MA 02301Gastroenterology Physician2014-06-12
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.