NPIMap

Individual provider Active NPI

Jourdan Bradshaw Gard, DO

  • Orthopaedic Hand Surgery Physician
  • Warren, MI
National Provider Identifier
1346731296
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
5101027918 Issued in MI
Practice address
11012 E 13 Mile Rd Ste 112
Warren, MI 48093-2546
Phone
(586) 573-6880
NPI assigned
May 27, 2018
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101023987 MI
Orthopaedic Hand Surgery Physician 207XS0106X 5101027918 MI Primary

Addresses

Primary practice location

11012 E 13 Mile Rd Ste 112
Warren, MI 48093-2546

Mailing address

2399 Ellwood Ave
Berkley, MI 48072-1048
Phone (325) 665-8380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240812001419 MI Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 9133484637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Campbell Univ School of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Surgery Specialists PCGroup PAC ID 7113835075, 26 clinicians

Practice addresses (Care Compare)

22731 Newman St
Suite 100a
Dearborn, MI 48124-2031
Phone (313) 561-4910

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.94 of 100Reported as group
Quality
79.82
Promoting interoperability
100
Improvement activities
40
Cost
59.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101023987MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Surgery Specialists, P.C. Multi-Specialty CurrentSince Sep 1, 2024 Accepting new patients
Michigan Surgery Specialists, P.C. Multi-Specialty CurrentSince Sep 1, 2024 Accepting new patients
Michigan Surgery Specialists P.C. Multi-Specialty Past Accepting new patients

Locations

22731 Newman St
Ste 100A
Dearborn, MI 48124
Phone (313) 359-9540

11012 E 13 Mile Rd
Ste 112
Warren, MI 48093
Phone (586) 573-6880

31201 Chicago Rd S
Ste C302
Warren, MI 48093

Interoperability endpoints

  • Direct secure messaging: jgard1127570@direct.hfhs.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1527379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1346731296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2399 ELLWOOD AVE",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721048",
            "telephone_number": "325-665-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11012 E 13 MILE RD STE 112",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932546",
            "telephone_number": "586-573-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARD",
        "first_name": "JOURDAN",
        "middle_name": "BRADSHAW",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-27",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101023987",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MI",
            "license": "5101027918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.