Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAMUEL IVAN BARTLETT, DO
ActiveDR. SAMUEL IVAN BARTLETT, DO is a Sports Medicine healthcare provider located in FORT BENNING, Georgia. NPI 1467944462 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · FORT BENNING, GA
Registration Details
- NPI Number
- 1467944462
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2018 (8.1474217608467 yrs)
- Last Updated
- Aug 21, 2025
- Licenses
-
02005810A (IN)02005810A (IN)
Practice Information
- Address
-
6600 VAN AALST BLVDFORT BENNING, GA, 319052102Browse GA providers · Browse ZIP 31905
- Phone
- 7624082273
- Fax
- 7624088103
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in FORT BENNING, GA
| Name | Credential | NPI |
|---|---|---|
| KOJI NISHIMURA | M.D. | 1831422682 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.