Mark Bardou, MD
Individual provider Active NPI Emergency Medicine Physician · Linville, NC
NPI 1821138728 · NPPES record last updated Nov 24, 2015
Key facts
- NPI
- 1821138728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 28124 (NC)
- Practice address
- 434 Hospital Drive
Linville, NC 28646 - Phone
- (828) 737-7449
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28124 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linville Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
| Lexington Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 28124 | NC | Yes |
Addresses
Primary practice location
434 Hospital Drive
Linville, NC 28646
Mailing address
1 Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-1896
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203270F | Other | NC | MCARE PTAN |
| 891232X | Medicaid | NC |
Other providers in Linville, NC
- Appalachian Regional Medical Associates, Inc.
- Appalachian Regional Medical Associates, Inc.
- Jonathan G Austin
- Avery Pharmacy & Healthcare Inc
- Charles Edwin Baker Jr.
- Joseph David Barker
- Juainta Beaston
- William Blackerby
- Jessica McGuire Buchanan
- Carolinas Physicians Network Inc
All providers in Linville, NC · Emergency Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.