Active NPI
Jeffrey D Bard, CRNA
- Certified Registered Nurse Anesthetist
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R022430
- Practice address
- 1325 S Cliff Ave
Sioux Falls, SD 57105-1007 - Phone
- (605) 322-2754
- Fax
- (605) 322-2727
- NPI assigned
- Sep 16, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R022430 | SD | Primary |
Addresses
Primary practice location
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Mailing address
PO Box 5045
Attn: Prov Enroll, P.F.S.
Sioux Falls, SD 57117-5045
Phone (605) 322-2754
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1539775 | Medicaid | IA | |
| 0065246 | Other | SD | BLUE CROSS OF SD |
| 012K8BA | Other | MN | MN BLUECROSS BS |
| 047523800 | Medicaid | MN | |
| 5751563 | Medicaid | SD | |
| 46022474348 | Medicaid | NE | |
| 5751562 | Medicaid | SD | |
| 2539775 | Medicaid | IA | |
| R022430 | Other | SD | DAKOTACARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 E 23Rd St
Sioux Falls, SD 57105-2114
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
909 N Iowa Ave
Dell Rapids, SD 57022-1231
Phone (605) 428-5431
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0277 | SD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
909 N Iowa Ave
Dell Rapids, SD 57022
Phone (605) 428-5431
1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000
4500 W 69th St
Sioux Falls, SD 57108
Phone (605) 977-7000
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
- Certified Registered Nurse Anesthetist
- Sioux Falls, SD
- NPI 1568662872
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1184834764
-
- Endocrinology, Diabetes & Metabolism Physician
- Sioux Falls, SD
- NPI 1396711016
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307404800000",
"number": "1841285707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5045",
"address_2": "ATTN: PROV ENROLL, P.F.S.",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175045",
"telephone_number": "605-322-2754",
"fax_number": "605-322-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 S CLIFF AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051007",
"telephone_number": "605-322-2754",
"fax_number": "605-322-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARD",
"first_name": "JEFFREY",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2011-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SD",
"license": "R022430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1539775",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF SD",
"identifier": "0065246",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN BLUECROSS BS",
"identifier": "012K8BA",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "047523800",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5751563",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46022474348",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5751562",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2539775",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "R022430",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.