GARY V BARTHOLOMEW, DPM, Surgery, Foot FORT WORTH, TX

Contact Information

GARY V BARTHOLOMEW, DPM

5450 CLEARFORK MAIN ST STE 220
FORT WORTH, TX 76109-3562

Phone: 817-505-0233
Fax: 817-332-3172
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot	213ES0131X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for GARY V BARTHOLOMEW · (Male)

NPI #	`1316077761`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	03/06/2007
Last updated	10/22/2019 - About 7 years ago
Sole proprietor ¹	No
Identifiers	TX License # 926 TX Medicaid 0187254-01 TX Medicaid 018725402 TX Other 084933301 MEDICAID GROUP NUMBER
Hospital affiliation(s)	Not Available

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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