BERT E SHARP, DPM, Surgery, Foot & Ankle LONGVIEW, TX

Contact Information

BERT E SHARP, DPM

613 N 4TH ST
LONGVIEW, TX 75601-6616

Phone: 903-757-2300
Fax: 903-758-0279
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgery, Foot & Ankle	213ES0103X	48	Podiatry
Podiatrist	213E00000X	48	Podiatry
Radiology	213ER0200X	48	Podiatry
Sports Medicine	213ES0000X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for BERT E SHARP · (Male)

NPI Number	`1316900376`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	04/10/2006
Last updated	09/16/2024 - More than a year ago
Sole proprietor ¹	No
Identifiers	TX License # 1032 TX Medicaid 092750101 TX Medicaid 092750102 TX Other 4651102 AETNA TX Other 00A35L BLUE CROSS BLUE SHIELD TX Other 752573608 TAX ID
Hospital affiliation(s)	GOOD SHEPHERD MEDICAL CENTER MARSHALL - (Acute Care) 811 S WASHINGTON MARSHALL, TX 75670

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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BERT E SHARP, DPM – NPI #1316900376Surgery, Foot & Ankle

Contact Information

Specialty

Surgery, Foot & Ankle

Podiatrist

Radiology

Sports Medicine

NPI Profile & details for BERT E SHARP · (Male)

Reviews for BERT E SHARP

BERT E SHARP, DPM – NPI #1316900376
Surgery, Foot & Ankle