Provider Demographics
NPI:1619074994
Name:BERT E GEER DO PC
Entity Type:Organization
Organization Name:BERT E GEER DO PC
Other - Org Name:COOKEVILLE GYNECOLOGY
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:GEER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:931-528-9047
Mailing Address - Street 1:100 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-2495
Mailing Address - Country:US
Mailing Address - Phone:931-528-9047
Mailing Address - Fax:931-372-0045
Practice Address - Street 1:100 W 3RD ST
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-2495
Practice Address - Country:US
Practice Address - Phone:931-528-9047
Practice Address - Fax:931-372-0045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3303855Medicaid
TN3303855Medicare PIN