Active NPI
Jan V.T. Bear, MD
- Orthopaedic Surgery Physician
- Santa Fe, NM
National Provider Identifier
1255388336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 88-5
- Practice address
- 1631 Hospital Dr
Suite 200
Santa Fe, NM 87505-4766 - Phone
- (505) 424-0200
- Fax
- (505) 424-6608
- NPI assigned
- May 27, 2006
- Last updated
- Oct 31, 2007
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 88-5 | NM | Primary |
Addresses
Primary practice location
1631 Hospital Dr
Suite 200
Santa Fe, NM 87505-4766
Mailing address
1631 Hospital Dr
Suite 200
Santa Fe, NM 87505-4766
Phone (505) 424-0200
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98066 | Other | CCN | |
| 884647 | Other | UHC | |
| 82226385 | Medicaid | NM | |
| PROVP11527 | Other | MOLINA | |
| 356703 | Other | PHCS | |
| 10004689 | Other | LOVELACE | |
| NM001H10 | Other | NM | BCBS NM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88-5 | NM | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1255388336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 HOSPITAL DR",
"address_2": "SUITE 200",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054766",
"telephone_number": "505-424-0200",
"fax_number": "505-424-6608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 HOSPITAL DR",
"address_2": "SUITE 200",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054766",
"telephone_number": "505-424-0200",
"fax_number": "505-424-6608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAR",
"first_name": "JAN",
"middle_name": "V.T.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NM",
"license": "88-5",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "98066",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "884647",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82226385",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "PROVP11527",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "356703",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE",
"identifier": "10004689",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NM",
"identifier": "NM001H10",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.