Individual provider Active NPI

Robert M Bouvier Jr., M.D.

  • Internal Medicine Physician
  • Grand Blanc, MI
National Provider Identifier
1124011291
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301048801 Issued in MI
Practice address
5536 S Saginaw Rd
Grand Blanc, MI 48507-4421
Phone
(810) 694-7412
Fax
(866) 200-1503
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301048801 MI Primary

Addresses

Primary practice location

5536 S Saginaw Rd
Grand Blanc, MI 48507-4421

Mailing address

5536 S Saginaw Rd
Grand Blanc, MI 48507-4421
Phone (810) 694-7412

Other identifiers 1

IdentifierTypeStateIssuer
3111774MedicaidMI

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
I20080823000087 MI Practitioner - Family PracticePractitioner - Internal Medicine 7113811308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5536 S Saginaw Rd
Grand Blanc, MI 48507-4421
Phone (810) 694-7412

Hospital & facility affiliations

  • The Medical Team Home health agency, Livonia, MI, CCN 237125
  • The Care Team Home health agency, Saginaw, MI, CCN 239226
  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046
  • Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197
  • McLaren Flint Hospital, Flint, MI, CCN 230141

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301048801MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Bouvier MD, PLC CurrentSince May 1, 2008 Accepting new patients
Jon L. Schriner, D.O PC Past Accepting new patients

Locations

12741 S Saginaw St
Ste 402
Grand Blanc, MI 48439
Phone (810) 694-7412

12821 S Saginaw St
Ste D13
Grand Blanc, MI 48439
Phone (313) 982-3220

5536 S Saginaw Rd
Grand Blanc, MI 48507
Phone (810) 694-7412

Interoperability endpoints

  • Direct secure messaging: robert.bouvier.1@14381.direct.athenahealth.com
  • Direct secure messaging: rbouvier1118369@direct.hfhs.org

Organizations & group practices 2

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 6

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1124011291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5536 S SAGINAW RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "485074421",
            "telephone_number": "810-694-7412",
            "fax_number": "866-200-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5536 S SAGINAW RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "485074421",
            "telephone_number": "810-694-7412",
            "fax_number": "866-200-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUVIER",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301048801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3111774",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.