MEDICARE: PATRICK ALLEN BARTHOLOMEW JR. DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	PO4079	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295181600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK ALLEN BARTHOLOMEW JR. DPM

Provider Business Mailing Address
First Line	:	GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVE
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-0001
Country	:	US
Telephone Number	:	570-271-6211
Fax Number	:

Provider Business Practice Location Address
First Line	:	530 SE 16TH PL STE A
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-1656
Country	:	US
Telephone Number	:	239-430-3668
Fax Number	:	239-692-9436

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2016
Last Update Date	:	11/14/2019

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