Individual
DR. BERTRAM A LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D. MBA FACS
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
35491
AZ
208800000X
Urology Physician
9901570
NC
208800000X
Urology Physician
Primary
ME103274
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001360600
—
FL
01
—
135924
HEALTH CHOICE ARIZONA
AZ
05
—
135924
—
AZ
01
—
135924002
ARIZONA PHYSICIANS IPA
AZ
01
—
1463H
BCBS
FL
01
—
2Z8105
HEALTH NET OF ARIZONA
AZ
01
—
330605
AVMED
FL
01
—
529993
WELLCARE
FL
01
—
6005682
CIGNA
AZ
01
—
6005682
CIGNA
FL
01
—
7661457
AETNA
AZ
01
—
7661457
AETNA
FL
01
—
AZ0921980
BCBS
AZ
01
—
P00793962
MEDICARE RAILROAD
FL
Enumeration date
03/08/2006
Last updated
03/17/2016
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