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BERT EAGLE SHARP D.P.M. NPI 1316900376


NPI Information

NPI: 1316900376
Provider Name: BERT EAGLE SHARP, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
613 N 4TH ST
LONGVIEW, TX
ZIP 75601
Phone: (903) 757-2300
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Bert Eagle Sharp, D.P.M. is a foot and ankle surgery podiatrist in Longview, TX with 37 years of experience. Bert Eagle Sharp, D.P.M. NPI is 1316900376. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

613 N 4TH ST
LONGVIEW, TX
ZIP 75601-616
Phone: (903) 757-2300
Fax: (903) 758-0279

The NPI 1316900376 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)

The enumeration date for this NPI number is 4/10/2006 and was last updated on 1/13/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist1032TEXASNo
2213ER0200XPodiatristRadiology1032TEXASNo
3213ES0000XPodiatristSports Medicine1032TEXASNo
4213ES0103XPodiatristFoot & Ankle Surgery1032TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14651102OTHERTEXASAETNA
20525290001MEDICARE NSCTEXAS
300R78MMEDICARE ID-TYPE UNSPECIFIEDTEXASMT. PLEASANT LOCATION
4092750101MEDICAIDTEXAS
500A35LMEDICARE ID-TYPE UNSPECIFIEDTEXASLONGVIEW LOCATION
600A35LOTHERTEXASBLUE CROSS BLUE SHIELD
7092750102MEDICAIDTEXAS
8752573608OTHERTEXASTAX ID
9T15859MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.