Jacqueline Bardwell, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

42524 Issued in AZ

Practice address

950 W Southern Ave
Tempe, AZ 85282-4512

Phone

(480) 968-7200

Fax

(480) 968-5100

NPI assigned

Aug 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• American Physicians Associates LTD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1942535661

  Family Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1780798173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824512",
            "telephone_number": "480-968-7200",
            "fax_number": "480-968-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824512",
            "telephone_number": "480-968-7200",
            "fax_number": "480-968-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDWELL",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036071787",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "42524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olena Baratti
• Cynthia Barbari
• Christina Barber, D.V.M.
• Timmie M Barc, DC
• Britanee Barclay
• David Gaspar Barela, D.D.S.
• Will Barfield
• Catherine Baril-Neely, LCSW
• Stacy Barkin
• Lynn Switzer Barlow, M.S.

• Family Medicine Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.