NPIMap

Organization Active NPI

J Bardina Primary Care

  • Integrative Medicine Physician
  • Revere, MA
National Provider Identifier
1700711264
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
Legal business name
J BARDINA PRIMARY CARE
Practice address
131 Bellingham Ave Apt 3
Revere, MA 02151-4344
Phone
(786) 282-5645
Fax
(786) 282-5645
NPI assigned
Jun 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Dr. Jessica Bardina, DNP, AGNP-CNPI 1013424480
Title
Owner
Phone
(786) 282-5645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202D00000X Primary

Addresses

Primary practice location

131 Bellingham Ave Apt 3
Revere, MA 02151-4344

Mailing address

131 Bellingham Ave Apt 3
Revere, MA 02151-4344
Phone (786) 282-5645

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1700711264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 BELLINGHAM AVE APT 3",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514344",
            "telephone_number": "786-282-5645",
            "fax_number": "786-282-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 BELLINGHAM AVE APT 3",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514344",
            "telephone_number": "786-282-5645",
            "fax_number": "786-282-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J BARDINA PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "BARDINA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-282-5645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, AGNP-C"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Revere, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.