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GARY VICTOR BARTHOLOMEW D.P.M.
NPI 1316077761
Podiatrist - Foot Surgery in Fort Worth, TX

Active since March 06, 2007PECOS Enrolled
5450 CLEARFORK MAIN ST STE 220, FORT WORTH, TX 76109(817) 505-0233(817) 332-3172 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 22, 2019, Mar 17, 2018, Jul 21, 2017 (3 updates tracked since 2017).

About Gary Victor Bartholomew D.p.m. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY VICTOR BARTHOLOMEW D.P.M. (NPI 1316077761) is an individual foot surgery provider in Fort Worth, Texas, licensed in Texas (926) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1316077761
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameGARY VICTOR BARTHOLOMEWCredential: D.P.M.
Location Address5450 CLEARFORK MAIN ST STE 220Fort Worth, TX 76109-3562
Mailing Address5450 Clearfork Main St Ste 410Fort Worth, TX 76109-3559 · (817) 505-0233
Phone(817) 505-0233
Fax(817) 332-3172
Sole ProprietorNo
Enumeration DateMarch 6, 2007
Last NPPES UpdateOctober 22, 20193 updates tracked since enumeration
✔ NPI 1316077761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in TX · 926
5450 CLEARFORK MAIN ST STE 220, Fort Worth, TX 76109
Open in Google Maps ↗

Secondary Practice Location 1

Location 1909 9th Ave, Suite 300Fort Worth, TX 76104-3903 · Phone (817) 336-7191 · Fax (817) 877-4015

Other Identifiers 3

Other084933301TX · Medicaid Group Number
Medicaid018725402TX
Medicaid0187254-01TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary Victor Bartholomew D.p.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gary Bartholomew reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Clinic Of North Texas, PLLC
14 mi
Internal Medicine
4401 PARK SPRINGS BLVD STE 100
Arlington, TX 76017
  • Reassigned Medicare billing, Texas enrollment
  • 379 clinicians in this Medicare group
NPI 1033167234 (817) 807-9060

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Bartholomew's NPI number?

The NPI number for Gary Bartholomew is 1316077761. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Gary Bartholomew located?

Gary Bartholomew practices at 5450 Clearfork Main St Ste 220, Fort Worth, TX 76109. The listed phone number is (817) 505-0233.

What is Gary Bartholomew's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Gary Bartholomew enrolled in Medicare?

Yes. Gary Bartholomew is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gary Bartholomew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Bartholomew reassigns Medicare benefits to Medical Clinic Of North Texas, PLLC (Arlington, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Bartholomew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gary Bartholomew was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.