Bert Eagle Sharp is a Radiology in Longview, Texas. Bert Eagle Sharp practices all healthcare services and medical treatments related to Radiology. The NPI Number for Bert Eagle Sharp is 1316900376. The last update date is 2009-01-13.
Bert Eagle Sharp's current location address is 613 N 4th St, Longview, Texas. You can contact this provider via phone number 9037572300 and fax number 9037580279. The mailing address for Bert Eagle Sharp is 613 N 4th St, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bert Eagle Sharp |
|---|---|
| Address | 613 N 4th St, Longview, Texas |
| Phone Number | 9037572300 |
| Fax Number | 9037580279 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1316900376 |
|---|---|
| Provider Enumeration Date | 2006-04-10 |
| Last Updated Date | 2009-01-13 |
Provider Mailing Address Detail
| Address | 613 N 4th St |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756016616 |
| Phone Number | 9037572300 |
| Fax Number | 9037580279 |
Provider's Primary Taxonomy Detail
| Speciality | Radiology |
|---|---|
| Taxonomy | 213Er0200X |
| Licence No | 1032 |
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Definition: A doctor of podiatric medicine who specializes in medical imaging of the lower extremities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4651102 | TX | AETNA | |
| 00A35L | TX | BLUE CROSS BLUE SHIELD | |
| 92750102 | TX | -- | |
| 752573608 | TX | TAX ID | |
| 92750101 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bert Eagle Sharp by the Centers for Medicare & Medicaid Services?
The Bert Eagle Sharp has been issued the NPI (National Provider Identifier) 1316900376 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Bert Eagle Sharp is geographically located?
The Bert Eagle Sharp is physically situated at the following location: 613 N 4Th St, Longview, TX, 756016616.
What is Bert Eagle Sharp's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bert Eagle Sharp is Radiology, and the corresponding taxonomy classification code for this specialized field is 213Er0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1316900376 to Bert Eagle Sharp?
The Centers for Medicare & Medicaid Services assigned the 1316900376 to Bert Eagle Sharp on 2006-04-10.
As of what date was the information regarding Bert Eagle Sharp, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bert Eagle Sharp, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-01-13.