Mark Bardou, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

28124 Issued in NC

Practice address

434 Hospital Drive
Linville, NC 28646

Phone

(828) 737-7449

NPI assigned

Feb 8, 2007

Last updated

Nov 24, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lexington Medical Center

  • General Acute Care Hospital
  • Lexington, NC
  • NPI 1417958331
  NPD (past)
• Linville Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Linville, NC
  • NPI 1962656157
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1821138728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-1896",
            "fax_number": "336-716-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 HOSPITAL DRIVE",
            "city": "LINVILLE",
            "state": "NC",
            "postal_code": "28646",
            "telephone_number": "828-737-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDOU",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "28124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Appalachian Regional Medical Associates, Inc. (Charles E. Baker, Jr., MD, Center for Primary Care)
• Appalachian Regional Medical Associates, Inc. (Weekend Care Program)
• Jonathan G Austin, M.D.
• Avery Pharmacy & Healthcare Inc (Avery Pharmacy)
• Charles Edwin Baker Jr., MD
• Joseph David Barker, M.D.
• Juainta Beaston, LCSW
• William Blackerby
• Jessica McGuire Buchanan, PHARMD
• Carolinas Physicians Network Inc (The Sanger Clinic)

• Emergency Medicine Physician in Linville, NC
• Providers in Linville, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.