Bert Eagle Sharp
Podiatrist Radiology Sports Medicine Foot & Ankle Surgery
613 N 4th St
Longview
, Texas 75601-6616
Bert Eagle Sharp
Podiatrist Radiology Sports Medicine Foot & Ankle Surgery
613 N 4th St
Longview
, Texas 75601-6616
(903) 758-0279
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About
Features
Specialties
- Podiatrist
- Radiology
- Sports Medicine
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Bert Eagle Sharp
- 613 N 4th St
- Longview, TX
- Zip : 75601-6616
- Fax : (903) 758-0279
- Phone : (903) 757-2300
Second Address
- Bert Eagle Sharp
- 613 N 4th St
- Longview, TX
- Zip : 75601-6616
- Fax : (903) 758-0279
- Phone : (903) 757-2300
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FAQs
Where did Bert Eagle Sharp attend graduate school?
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What type of doctor is Bert Eagle Sharp
In what state does Bert Eagle Sharp practice in?
Where is Bert Eagle Sharp ’s practice located?
What is Bert Eagle Sharp ’s gender?
Is Bert Eagle Sharp a sole practitioner?
Is Bert Eagle Sharp accepting new patients?
What languages does Bert Eagle Sharp speak?
Does Bert Eagle Sharp accept insurance?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 1032 | TX |
| N | 222Z00000X | Podiatrist | 1032 | TX |
| N | 111NR0200X | Radiology | 1032 | TX |
| N | 213ER0200X | Radiology | 1032 | TX |
| N | 2081S0010X | Sports Medicine | 1032 | TX |
| N | 213ES0000X | Sports Medicine | 1032 | TX |
| Y | 213ES0103X | Foot & Ankle Surgery | 1032 | TX |
National Provider Identifier
| NPI | 1316900376 |
|---|---|
| Provider Name | Bert Eagle Sharp |
| First Address | Longview, TX 75601-6616 |
| Second Address | Longview, TX 75601-6616 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2006 |
| Last Update Date | 13/01/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A35L | BLUE CROSS BLUE SHIELD (01) | TX |
| 092750101 | (05) | TX |
| 092750102 | (05) | TX |
| 4651102 | AETNA (01) | TX |
| 752573608 | TAX ID (01) | TX |
| T15859 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.