Bert E. Sharp, D.P.M., P.a.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1032 Issued in TX

Legal business name

BERT E. SHARP, D.P.M., P.A.

Practice address

613 N 4TH St
Longview, TX 75601-6616

Phone

(903) 757-2300

Fax

(903) 758-0279

NPI assigned

Apr 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bert Eagle Sharp, DPM

Title

Owner

Phone

(903) 572-8745

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1750504403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016616",
            "telephone_number": "903-757-2300",
            "fax_number": "903-758-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016616",
            "telephone_number": "903-757-2300",
            "fax_number": "903-758-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERT E. SHARP, D.P.M., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "BERT",
        "authorized_official_middle_name": "EAGLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-572-8745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092750101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iminabo Samson Berepele
• Elisa Lynn Berry, FNP
• George Albert Berry Jr., D.C.
• Jody David Berryhill, L.A.T.
• Bert E. Sharp, D.P.M., P.a.
• William Besong Besong, PHARMD
• Bespoke Rehabilitation, LLC
• Best Friends Adult Activity Center Inc
• Best Friends Adult Activity Ctr, Inc.
• Bethany HH of Longview

• Podiatrist in Longview, TX
• Providers in Longview, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.