Bertram Z Buie (NPI# 1255775763, PAC ID# 6002864089) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1255775763 |
PAC ID by PECOS | 6002864089 |
Professional Enrollment ID | I20050106000233 |
Full Name | Bertram Z Buie |
Address |
1880 Carswell Ave Fort Worth TX 76127-1067 |
Gender | M |
Credential | OD |
Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
Graduation Year | 2001 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1880 Carswell Ave, Fort Worth, TX 76127-1067 |
Street Address |
1880 CARSWELL AVE |
City | FORT WORTH |
State | TX |
Zip | 76127-1067 |
City | FORT WORTH |
Zip Code | 76127 |
Specialty | OPTOMETRY |
City + Specialty | FORT WORTH + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.