BERT EAGLE SHARP D.P.M. NPI 1316900376

NPI Information

  • NPI: 1316900376
  • Provider Name: BERT EAGLE SHARP, D.P.M.
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 613 N 4TH ST
    LONGVIEW, TX
    ZIP 75601
  • Phone: (903) 757-2300

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NPI Details

Bert Eagle Sharp, D.P.M. is a foot and ankle surgery podiatrist in Longview, TX with 39 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.

Education
Medical School: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1987

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.

  • Aspiration and/or injection of fluid from small joint (HCPCS:20600)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Injection into tendon or ligament (HCPCS:20550)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • Injection of anesthetic and/or steroid drug into foot nerve (HCPCS:64455)
  • Removal of blood accumulation under fingernail or toenail (HCPCS:11740)
  • Aspiration of abscess, blood, or cyst (HCPCS:10160)

The enumeration date for this NPI number is 4/10/2006 and was last updated on 9/16/2024.

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
100A35LOTHERTEXASBLUE CROSS BLUE SHIELD
24651102OTHERTEXASAETNA
3092750101MEDICAIDTEXAS
4092750102MEDICAIDTEXAS
5752573608OTHERTEXASTAX ID

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: 11/21/2025

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