Individual provider Active NPI

John Gerard Bizon, M.D.

  • Otolaryngology Physician
  • Battle Creek, MI
National Provider Identifier
1467401745
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0401382231 Issued in MI
Practice address
3600 Capital Ave SW
Ste 204
Battle Creek, MI 49015-9393
Phone
(269) 979-6444
Fax
(269) 979-6450
NPI assigned
May 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0401382231 MI Primary

Addresses

Primary practice location

3600 Capital Ave SW
Ste 204
Battle Creek, MI 49015-9393

Mailing address

3600 Capital Ave SW
Ste 204
Battle Creek, MI 49015-9393
Phone (269) 979-6444

Other identifiers 2

IdentifierTypeStateIssuer
1031248OtherMIPHYSICIAN HEALTH PLAN
4486856MedicaidMI

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

LicenseStateTypeSpecialty
0401382231MIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Medical Care PC CurrentSince Dec 20, 2014 Accepting new patients

Locations

3600 Capital Ave SW
Ste 204
Battle Creek, MI 49015
Phone (269) 441-1000

Organizations & group practices 1

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": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1467401745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 CAPITAL AVE SW",
            "address_2": "STE 204",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490159393",
            "telephone_number": "269-979-6444",
            "fax_number": "269-979-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CAPITAL AVE SW",
            "address_2": "STE 204",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490159393",
            "telephone_number": "269-979-6444",
            "fax_number": "269-979-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIZON",
        "first_name": "JOHN",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "0401382231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN HEALTH PLAN",
            "identifier": "1031248",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4486856",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.