Individual provider Active NPI

Mark R Beard, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Novi, MI
National Provider Identifier
1003070723
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
5101017883 Issued in MI
Practice address
28455 Haggerty Rd Ste 200
Novi, MI 48377-2982
Phone
(248) 893-3200
Fax
(248) 893-2950
NPI assigned
Jul 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 5101017883 MI Primary
General Practice Physician 208D00000X 5101017883 MI

Addresses

Primary practice location

28455 Haggerty Rd Ste 200
Novi, MI 48377-2982

Mailing address

28455 Haggerty Rd Ste 200
Novi, MI 48377-2982
Phone (248) 893-3213

Other practice location 1

3477 E Grand River Ave
Howell, MI 48843-8552
Phone (248) 893-3200

Other practice location 2

2117 Springwells St
Detroit, MI 48209-1507
Phone (313) 586-7481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914000535 MI Practitioner - General PracticePractitioner - Geriatric MedicinePractitioner - Family Practice 2860517810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Geriatric Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Physicians PCGroup PAC ID 3870484116, 14 clinicians

Practice addresses (Care Compare)

28455 Haggerty Rd
Suite 200
Novi, MI 48377-2982
Phone (248) 893-3200

Hospital & facility affiliations

  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC General Practice Current Accepting new patients
Vpa PC General Practice CurrentSince Nov 10, 2010 Accepting new patients
Vpa PC General Practice CurrentSince Nov 10, 2010 Accepting new patients
Rehabilitation Physicians PC Neuromusculoskeletal Medicine & Omm CurrentSince Nov 16, 2023 Accepting new patients
Rehabilitation Physicians, PC CurrentSince Nov 16, 2023 Accepting new patients
Vernor Urgent Care PLLC PastSince Sep 1, 2016 Accepting new patients

Locations

3477 E Grand River Ave
Howell, MI 48843
Phone (248) 893-3200

28455 Haggerty Rd
Ste 200
Novi, MI 48377
Phone (248) 893-3200

2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085

2725 Airview Blvd
Ste 105
Portage, MI 49002
Phone (269) 349-8386

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

500 Kirts Blvd
Troy, MI 48084
Phone (214) 824-6000

Interoperability endpoints

  • Direct secure messaging: mbeard1116818@direct.hfhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBBCCA/Endpoint/IBBCCA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1003070723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28455 HAGGERTY RD STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772982",
            "telephone_number": "248-893-3213",
            "fax_number": "248-893-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28455 HAGGERTY RD STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772982",
            "telephone_number": "248-893-3200",
            "fax_number": "248-893-2950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3477 E Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "MI",
            "postal_code": "488438552",
            "country_code": "US",
            "telephone_number": "248-893-3200",
            "fax_number": "248-893-2951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2117 Springwells St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482091507",
            "country_code": "US",
            "telephone_number": "313-586-7481",
            "fax_number": "313-899-7392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEARD",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-11",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": "5101017883",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101017883",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.