John L Bard, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Saint Joseph, MI
NPI 1154358331 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1154358331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 4301080587 (MI)
- Practice address
- 3950 Hollywood Rd
Suite 100
Saint Joseph, MI 49085-9151 - Phone
- (269) 429-8010
- Fax
- (269) 408-0986
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of Arkansas College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeland Medical Practices
Practice addresses (Care Compare)
1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 983-8300
3950 Hollywood Rd
Saint Joseph, MI 49085-9151
42 N Saint Joseph Ave
Niles, MI 49120-2203
Hospital & facility affiliations
- Lakeland Hospital, St Joseph
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040126000876 | MI | Practitioner - Obstetrics/Gynecology | 9830091115 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301080587 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercare Community Health Network | Current |
Accepting new patients | |
| Lakeland Medical Practices | Current |
Accepting new patients | |
| Lakeland Medical Practices | Current |
Accepting new patients | |
| Intercare Community Health Network | Current |
Accepting new patients | |
| Southwest Medical Care Corporation | Past | Accepting new patients |
Locations
50 Industrial Park Rd
Bangor, MI 49013
Phone (269) 427-7937
308 Charles St
Bangor, MI 49013
Phone (269) 427-7967
870 Colfax Ave
Benton Harbor, MI 49022
Phone (269) 605-1277
800 M 139
Benton Harbor, MI 49022
Phone (269) 927-5400
6416 Deans Hill Rd
Berrien Ctr, MI 49102
Phone (269) 471-7741
7450 Hochberger Rd
Eau Claire, MI 49111
Phone (855) 869-6900
285 James St
Holland, MI 49424
Phone (616) 399-0200
2002 S 11th St
Niles, MI 49120
Phone (269) 687-0200
31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417
538 Washington St
Otsego, MI 49078
Phone (269) 694-7873
5498 109th Ave
Pullman, MI 49450
Phone (269) 236-5021
3950 Hollywood Rd
Ste 100
Saint Joseph, MI 49085
Phone (269) 429-0900
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
Interoperability endpoints
- jbard1268420@epic00.corewelldirect.org
- john.bard@ichn.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301080587 | MI | Yes |
Addresses
Primary practice location
3950 Hollywood Rd
Suite 100
Saint Joseph, MI 49085-9151
Mailing address
3950 Hollywood Rd
Suite 100
Saint Joseph, MI 49085-9151
Phone (269) 429-8010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07-30373 | Other | MI | PHP |
| 1601103621 | Other | MI | BLUE CROSS |
| 4661553 | Medicaid | MI | |
| 160059263 | Other | RAILROAD MEDICARE | |
| 2351146 | Other | CIGNA |
Other providers in Saint Joseph, MI
- Margaretha Baestaens
- Bidisha Bagchi
- Kourosh Baghelai
- Abigail Jane Baker
- Alina McBride Baltazar
- Savannah Rose Bares
- Thomas Christopher Barker
- Michelle Barnes
- Brock Patrick Barnett
- Maureen Rowley Barnett
All providers in Saint Joseph, MI · Obstetrics & Gynecology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.