Individual provider Active NPI

Andrew James Bard, MD

  • Emergency Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1346500824
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301501576 Issued in MI
Practice address
1740 28TH St SE
Grand Rapids, MI 49508-1414
Phone
(616) 323-3999
Fax
(616) 552-1618
NPI assigned
May 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301501576 MI Primary

Addresses

Primary practice location

1740 28TH St SE
Grand Rapids, MI 49508-1414

Mailing address

1023 Kingscote Dr
Harleysville, PA 19438-1062
Phone (215) 272-1824

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
I20210902002250 MI Practitioner - Emergency Medicine 6305162587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Loma Linda University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient One Care, PLLCGroup PAC ID 1658653860, 12 clinicians

Practice addresses (Care Compare)

1740 28TH St SE
Grand Rapids, MI 49508-1414
Phone (616) 323-3999

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Patient One Care PLLC CurrentSince Sep 1, 2021 Accepting new patients
Patient One Care, PLLC CurrentSince Sep 1, 2021 Accepting new patients
Parkway Anesthesia Consultants, PC Past Accepting new patients
Patient One Care PLLC Past Accepting new patients

Locations

1740 28th St SE
Grand Rapids, MI 49508
Phone (616) 200-8669

2871 44th St SW
Grandville, MI 49418
Phone (616) 410-7420

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1346500824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 KINGSCOTE DR",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381062",
            "telephone_number": "215-272-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 28TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495081414",
            "telephone_number": "616-323-3999",
            "fax_number": "616-552-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARD",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-18",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301501576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.