Individual provider Active NPI

John Connor Hardy, MD

  • General Practice Physician
  • Bethesda, MD
National Provider Identifier
1831776624
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101277684 Issued in VA
Practice address
8901 Rockville Pike Pulmonary Dept Building 9 Floor 1
Bethesda, MD 20889-0001
Phone
(301) 295-4191
Fax
(301) 319-8751
NPI assigned
Mar 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0101277684 VA Primary

Addresses

Primary practice location

8901 Rockville Pike Pulmonary Dept Building 9 Floor 1
Bethesda, MD 20889-0001

Mailing address

8901 Rockville Pike Pulmonary Dept Building 9 Floor 1
Bethesda, MD 20889-0001
Phone (301) 295-4191

Other practice location 1

San Antonio Military Medical Center MCHE-ZDM-M
Internal Medicine Residency, 3551 Roger Brooke Dr.
JBSA-Fort Sam Houston, TX 78234-4504
Phone (210) 916-5910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230516001326 VA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1850757964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1831776624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 ROCKVILLE PIKE PULMONARY DEPT BUILDING 9 FLOOR 1",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "301-295-4191",
            "fax_number": "301-319-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 ROCKVILLE PIKE PULMONARY DEPT BUILDING 9 FLOOR 1",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "301-295-4191",
            "fax_number": "301-319-8751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "San Antonio Military Medical Center MCHE-ZDM-M",
            "address_2": "Internal Medicine Residency, 3551 Roger Brooke Dr.",
            "address_purpose": "LOCATION",
            "city": "JBSA-Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "210-916-5910",
            "fax_number": "210-916-2077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDY",
        "first_name": "JOHN",
        "middle_name": "CONNOR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101277684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.