Hosea Tyler Bickerstaff, NREMT
Individual provider Active NPI Basic Emergency Medical Technician · Fort Rucker, AL
NPI 1487972402 · NPPES record last updated May 14, 2010
Key facts
- NPI
- 1487972402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Basic Emergency Medical Technician 146N00000X
- License
- B1725326 (TX)
- Practice address
- BLDG 301 Andrews Ave
Lyster Army Health Clinic
Fort Rucker, AL 36362-5333 - Phone
- (334) 255-7185
- NPI assigned
- May 14, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B1725326 | TX | MD | Basic Emergency Medical Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | B1725326 | TX | Yes |
Addresses
Primary practice location
BLDG 301 Andrews Ave
Lyster Army Health Clinic
Fort Rucker, AL 36362-5333
Mailing address
BLDG 301 Andrews Ave
Lyster Army Health Clinic
Fort Rucker, AL 36362-5333
Phone (334) 255-7185
Other providers in Fort Rucker, AL
- Stephen Adam Bernstein
- John Christopher Berry
- Shilo Beving
- Amy Bhagaloo
- Raoul Jay Bhatta
- Michael A Bishop I
- Courtney A Bivins
- Janna Blanks
- Aaron Blasingame
- Marci Bolla
All providers in Fort Rucker, AL · Basic Emergency Medical Technician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.