Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BERT ERIC BLACKWELL, D.O.
ActiveDR. BERT ERIC BLACKWELL, D.O. is a 207PE0005X healthcare provider located in TULSA, Oklahoma. NPI 1649221177 is currently active in the NPPES registry. Verify at CMS.
207PE0005X · TULSA, OK
Registration Details
- NPI Number
- 1649221177
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 12, 2006 (20.278944529925 yrs)
- Last Updated
- Nov 30, 2017
- Licenses
-
3343 (OK)3343 (OK)
Practice Information
- Address
-
4538 S HARVARD AVETULSA, OK, 741352906Browse OK providers · Browse ZIP 74135
- Phone
- 9187123377
- Fax
- 9187123373
- Primary Specialty
-
207PE0005X
207PE0005X
- Additional Specialty
- 207PE0005X
Other 207PE0005X Providers in TULSA, OK
| Name | Credential | NPI |
|---|---|---|
| DR. REBECCA A BLOOM | M.D. | 1841207149 |
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.