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Active NPI 1750504403 Organization (Entity Type 2)

Bert E. Sharp, D.p.m., P.a.

Podiatrist • Longview, TX

About Bert E. Sharp, D.p.m., P.a. NPI 1750504403 Summary

Bert E. Sharp, D.P.M., P.A. is a verified healthcare organization specializing in Podiatrist operating in Longview, TX. Located at 613 N 4TH ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1750504403.

Administrative operations and authorized compliance are overseen by Bert Sharp (Owner).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

613 N 4th St

Longview, TX 756016616

Telephone 9037572300
Fax 9037580279

Authorized Official Information

Authorized Contact Name

DR. Bert Sharp , DPM

Title / Role

Owner

Official Telephone

9035728745

Facility Classifications & Specialties

Podiatrist Primary Taxonomy

NUCC Taxonomy Code: 213E00000X

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked
Dr. Bert Sharp , DPM NPI 1316900376

Podiatrist - Foot & Ankle Surgery

Longview, TX

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active February 09, 2010

NPI status registered as active in NPPES database

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Updated Practice Location February 09, 2010

Registered at 613 N 4TH ST, LONGVIEW, TX 756016616 (Tel: 9037572300)

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Updated Business Mailing Address February 09, 2010

Registered at 613 N 4TH ST, LONGVIEW, TX 756016616 (Tel: 9037572300)

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Organization / Clinic Name Updated February 09, 2010

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

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2010

Podiatrist (License #1032 in TX)

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Initial NPI Registration & Enumeration April 11, 2007

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1750504403
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: April 11, 2007
Last Update: February 09, 2010

Mailing Address

613 N 4th St

Longview, TX 756016616

Phone: 9037572300

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.