Active NPI
Robert M Bouvier Jr., M.D.
- Internal Medicine Physician
- Grand Blanc, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301048801
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3111774 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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
- The Care Team
- Insight Hospital and Medical Center Coldwater
- University of Michigan Health System
- Ascension Genesys Hospital
- McLaren Flint
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301048801 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Bouvier MD, PLC | Current | 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
- robert.bouvier.1@14381.direct.athenahealth.com
- 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.
-
- Respite Care
- Flushing, MI
- NPI 1174826069
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coldwater, MI
- NPI 1063471639
Hospital
-
- Home Health Agency
- Saginaw, MI
- NPI 1497069173
-
- General Acute Care Hospital
- Grand Blanc, MI
- NPI 1407877723
Hospital
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
Hospital
-
- Home Health Agency
- Livonia, MI
- NPI 1750316220
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.