Berdine, Gilbert G
Berdine, Gilbert G is an individual health care provider with primary practice located at 3601 4Th St 2Nd Floor, Lubbock TX 79430-9410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Berdine, Gilbert G can be contacted via phone (806) 743-3150.Contact Information
Primary practice address
3601 4Th St 2Nd Floor
Lubbock TX 79430-9410
Phone: (806) 743-3150
Fax: (806) 743-3168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | G6142 | Texas |
Profile Details
| NPI number | 1225003791 |
|---|---|
| LBN Legal business name | Berdine, Gilbert G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | Jan 13th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225003791 | NPPES |
| Texas | Other | 162198100 | FIRSTCARE |
| Texas | MEDICAID | 10978534 | FIRSTCARE |
| Texas | Other | P00716809 | FIRSTCARE |
| Texas | MEDICAID | 133908710 | FIRSTCARE |
| Texas | Other | 202035797 | FIRSTCARE |
| Texas | Other | 8CA060 | FIRSTCARE |
| Texas | Other | 8CA061 | FIRSTCARE |
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