Brittanie Bardon, APN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209015930 Issued in IL

Practice address

4941 Benchmark Centre Dr
Ste 100
Swansea, IL 62226-2038

Phone

(618) 624-9970

Fax

(618) 624-9973

NPI assigned

Apr 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bbardon43679@direct-ehr-ssmhc.com

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.

• Mercy Clinic East Communities

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1851335228
  Medicare reassignment NPD
• St .Clair Pedaitrics, LLC

  • Pediatrics Physician
  • Swansea, IL
  • NPI 1073705737
  NPD (past)

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1407381569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4941 BENCHMARK CENTRE DR",
            "address_2": "STE 100",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262038",
            "telephone_number": "618-624-9970",
            "fax_number": "618-624-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4941 BENCHMARK CENTRE DR",
            "address_2": "STE 100",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262038",
            "telephone_number": "618-624-9970",
            "fax_number": "618-624-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDON",
        "first_name": "BRITTANIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209015930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgette Bacon, PHARM.D.
• Sabrina Bailey
• Kathryn Baird, COTA
• Toni Sue Baldwin-Dufour, APRN
• Jeffrey Charles Banker, DDS MS
• Emma Barham
• Because You Matter Behavioral Health PLLC
• Bradly Bechel
• Ellen L. Becker-Law, LCSW
• Jennine Beckmann, NP

• Pediatric Nurse Practitioner in Swansea, IL
• Providers in Swansea, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.