Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518593110 Individual Practitioner Male Practitioner

Bertram Pride

Licensed Practical Nurse • Park City, UT

Professional Overview & Biography Verified Profile Summary

Bertram Pride is a registered healthcare professional specializing in Licensed Practical Nurse in Park City, UT. Practice services are available at 1640 REDSTONE CENTER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1640 Redstone Center Dr

Park City, UT 840987605

Telephone 2142649711
Associated Practice Facility / Clinic
🏢 Jasima Reynolds Facility NPI 1699174615

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Park City, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Park City, UT (181 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-03-16
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MI 4703111838

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
Larissa Neal

Physical Therapist - Geriatrics

NPI 1053579250
Stephanie Rudisill , OTR

Occupational Therapist

NPI 1063633964

Occupational Therapist Registered

Sandra Saluti , MS, PT

Physical Therapist

NPI 1104012913

Master of Science, Physical Therapist

Sarah Vaughan , PT

Physical Therapist

NPI 1114208386

Physical Therapist

Dana Nelson , BS, COTA, L

Occupational Therapy Assistant

NPI 1114289386

Bachelor of Science, Certified Occupational Therapy Assistant, L

Kieran Glenbockie , MPT

Physical Therapist

NPI 1174853642

Master of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 16, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 16, 2020

Registered at 1640 REDSTONE CENTER DR, PARK CITY, UT 840987605 (Tel: 2142649711)

📍
Updated Business Mailing Address March 16, 2020

Registered at 8931 PARDEE RD, TAYLOR, MI 481802741

👤
Provider Name / Credentials Updated March 16, 2020

Recorded as BERTRAM PRIDE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2020

Licensed Practical Nurse (License #4703111838 in MI)

🟢
Initial NPI Registration & Enumeration March 16, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518593110
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2020
Last Update: March 16, 2020
Sole Proprietor: Yes

Mailing Address

8931 Pardee Rd

Taylor, MI 481802741

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.