Active NPI
John Gregory Bear, MD
- Family Medicine Physician
- Bridgeton, NJ
National Provider Identifier
1114972163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA03697800
- Practice address
- 230 Laurel Heights Drive
Bridgeton, NJ 08302-3634 - Phone
- (856) 451-9595
- Fax
- (856) 451-4130
- NPI assigned
- May 24, 2006
- Last updated
- Dec 14, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA03697800 | NJ | Primary |
Addresses
Primary practice location
230 Laurel Heights Drive
Bridgeton, NJ 08302-3634
Mailing address
230 Laurel Heights Drive
Bridgeton, NJ 08302-3634
Phone (856) 451-9595
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1076400 | Medicaid | NJ | |
| J1589 | Other | HORIZON | |
| 824719300 | Other | CIGNA | |
| F16376 | Other | HEALTH NET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice Associates of Cumberland Co PC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Bridgeton, NJ
- NPI 1699703587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292284800000",
"number": "1114972163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 LAUREL HEIGHTS DRIVE",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083023634",
"telephone_number": "856-451-9595",
"fax_number": "856-451-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 LAUREL HEIGHTS DRIVE",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083023634",
"telephone_number": "856-451-9595",
"fax_number": "856-451-4130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAR",
"first_name": "JOHN",
"middle_name": "GREGORY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2010-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA03697800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1076400",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON",
"identifier": "J1589",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "824719300",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "F16376",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.