Active NPI
James R Bardwell, D.O.
- Internal Medicine Physician
- Mesa, AZ
National Provider Identifier
1760915904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 008195
- Practice address
- 210 N Center St
Mesa, AZ 85201-6600 - Phone
- (520) 834-5414
- NPI assigned
- Apr 5, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 008195 | AZ | Primary |
Addresses
Primary practice location
210 N Center St
Mesa, AZ 85201-6600
Mailing address
210 N Center St
Mesa, AZ 85201-6600
Other practice location 1
5880 S Hospital Dr
Globe, AZ 85501-9447
Phone (928) 425-3261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5880 S Hospital Dr
Globe, AZ 85501-9447
Phone (928) 425-3261
Hospital & facility affiliations
- Cobre Valley Regional Medical Center
- Banner Baywood Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.64 of 100
- Quality
- 27.81
- Improvement activities
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008195 | AZ | MD | Internal Medicine Physician |
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.
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1194758284
-
- Critical Access Hospital
- Globe, AZ
- NPI 1871566521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1760915904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N CENTER ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852016600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N CENTER ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852016600",
"telephone_number": "520-834-5414"
}
],
"practiceLocations": [
{
"address_1": "5880 S Hospital Dr",
"address_purpose": "LOCATION",
"city": "Globe",
"state": "AZ",
"postal_code": "855019447",
"country_code": "US",
"telephone_number": "928-425-3261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARDWELL",
"first_name": "JAMES",
"middle_name": "R",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-05",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "008195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.