Organization
A BERT SPARROW PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATHEL BERT SPARROW M.D. (PRESIDENT)
(502) 361-6075
Entity
Organization
Contact information
Practice address
4402 CHURCHMAN AVE, STE 211, LOUISVILLE, KY 40215-3100
(502) 361-6075
(502) 361-6071
Mailing address
4402 CHURCHMAN AVE, STE 211, LOUISVILLE, KY 40215-3100
(502) 361-6075
(502) 361-6071
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
13980
KY
2086S0129X
Vascular Surgery Physician
Primary
13980
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000045552
BLUE CROSS BLUE SHIELD
—
01
—
022087143
RAILROAD MEDICARE
KY
05
—
100003430 A
—
IN
01
—
1048991
PASSPORT
KY
01
—
2432327000
PASSPORT ADVANTAGE
KY
05
—
65934580
—
KY
Enumeration date
07/03/2006
Last updated
04/24/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up