Dr. Alan Bartholomew, D.O.
Internal Medicine, Rheumatology in Keesler Afb, MS. Individual provider (NPI-1).
NPI number1003296153
StatusActive
Last updated in NPPESAug 13, 2020
Details
- NPI
- 1003296153
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alan Bartholomew
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2015
- Certification date
- Aug 13, 2020
- Last updated
- Aug 13, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RR0500X | Internal Medicine, Rheumatology | 1747 | NE | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 1747 | NE |
Practice location
301 Fisher St Rm 1f325Keesler Afb, MS 39534-2508
Phone 801-706-4520
Mailing address
88 Mdg/Sghj4881 Sugar Maple Dr.
Wright Patterson Afb, OH 45433
Phone 937-257-6529
Other practice locations
88 Mdg/Sghj 4881 Sugar Maple Dr.
Wright Patterson Afb, OH 45433
Wright Patterson Afb, OH 45433
Phone 937-522-2778
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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