Provider Demographics
NPI:1922099449
Name:GEER, BERT E (DO)
Entity Type:Individual
Prefix:
First Name:BERT
Middle Name:E
Last Name:GEER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDO0000001010207V00000X, 207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3303858Medicaid
TNF95024Medicare UPIN
TN3303858Medicare PIN