Individual provider Active NPI

Adam Jason Bard, MD

  • Internal Medicine Physician
  • Fairfield, CT
National Provider Identifier
1477531218
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
043863 Issued in CT
Practice address
2150 Black Rock Turnpike
Third Floor
Fairfield, CT 06825
Phone
(203) 384-2227
Fax
(203) 384-2022
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 043863 CT Primary

Addresses

Primary practice location

2150 Black Rock Turnpike
Third Floor
Fairfield, CT 06825

Mailing address

2150 Black Rock Turnpike
Third Floor
Fairfield, CT 06825
Phone (203) 384-2227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20060425000412 CT Practitioner - Internal Medicine 3274565627 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043863CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adam Bard, MD LLC Internal Medicine CurrentSince Apr 15, 2006 Accepting new patients

Locations

2150 Black Rock Tpke
Ste 3
Fairfield, CT 06825
Phone (203) 384-2227

2150 Black Rock Tpke
Rm 301
Fairfield, CT 06825
Phone (203) 384-2227

2150 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 334-7400

Interoperability endpoints

  • Direct secure messaging: abard39310@direct.ynhh.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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albany Medical College of Union University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehabilitation Associates Inc 525 clinicians
Adam Bard MD LLC 2 clinicians

Practice addresses (Care Compare)

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

2150 Black Rock Tpke
Fairfield, CT 06825-3255
Phone (203) 384-2227

Hospital & facility affiliations

  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • Pathwell Home Health Home health agency, Stratford, CT, CCN 077181
  • Mozaic Hospice Home health agency, Bridgeport, CT, CCN 077247
  • Constellation Home Care Home health agency, Norwalk, CT, CCN 077200
  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477531218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 BLACK ROCK TURNPIKE",
            "address_2": "THIRD FLOOR",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "06825",
            "telephone_number": "203-384-2227",
            "fax_number": "203-384-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 BLACK ROCK TURNPIKE",
            "address_2": "THIRD FLOOR",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "06825",
            "telephone_number": "203-384-2227",
            "fax_number": "203-384-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARD",
        "first_name": "ADAM",
        "middle_name": "JASON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "043863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.