Provider Demographics
NPI:1467433623
Name:BARTEE, HARRY ALBERT JR (MD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:ALBERT
Last Name:BARTEE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 216
Mailing Address - Street 2:500 NE ATLANTIC ST
Mailing Address - City:TULLAHOMA
Mailing Address - State:TN
Mailing Address - Zip Code:37388-0216
Mailing Address - Country:US
Mailing Address - Phone:931-222-7291
Mailing Address - Fax:888-288-8204
Practice Address - Street 1:193 RELCO DR
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37355-7386
Practice Address - Country:US
Practice Address - Phone:931-728-3090
Practice Address - Fax:931-728-3097
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD30284207R00000X, 208000000X
MS14560207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7025469OtherAETNA
TX3841691Medicaid
AL89022514OtherBCBS AL
TN3841693Medicaid
TN4049918OtherBLUE CROSS BLUE SHIELD
080140832OtherMEDICARE RAILROAD
TN3841693Medicaid
AL89022514OtherBCBS AL
TN7025469OtherAETNA
H04385Medicare UPIN