Individual provider Active NPI

Michael Bookhardt, M.D.

  • Family Medicine Physician
  • Flowood, MS
National Provider Identifier
1881034254
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24519 Issued in MS
Practice address
2506 Lakeland Dr Ste 310
Flowood, MS 39232-7640
Phone
(321) 229-8868
NPI assigned
Jul 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24519 MS Primary

Addresses

Primary practice location

2506 Lakeland Dr Ste 310
Flowood, MS 39232-7640

Mailing address

2506 Lakeland Dr Ste 310
Flowood, MS 39232-7640
Phone (321) 229-8868

Other practice location 1

215 Marion Ave
McComb, MS 39648-2705
Phone (601) 249-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20160929000145 MS Practitioner - Family PracticePractitioner - Hospitalist 3870817778 Reassigns benefits to 7 organizations
Practice locations: Jackson, MS; Flowood, MS

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grenada Physician Services, LLCGroup PAC ID 4284965773, 15 clinicians

Practice addresses (Care Compare)

960 Avent Dr
Grenada, MS 38901-5230
Phone (662) 227-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24519MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grenada Physician Services, LLC CurrentSince Oct 15, 2025 Accepting new patients
Centerwell Senior Primary Care Ms PC Family Medicine Current Accepting new patients
Centerwell Senior Primary Care Ms PC Family Medicine CurrentSince Feb 17, 2025 Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Aug 3, 2016 Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Aug 3, 2016 Accepting new patients
Comprehensive Hospitalists of Ms, LLC Current Accepting new patients
Southeast Regional Medical Solutions, PLLC Family Medicine CurrentSince Jan 24, 2019 Accepting new patients
Copiah County Medical Center CurrentSince Jul 1, 2022 Accepting new patients
Centerwell Senior Primary Care Ms PC Family Medicine CurrentSince Feb 17, 2025 Accepting new patients
Good Faith Wellness Center PLLC Current Accepting new patients
Natchez HB Medical Services LLC CurrentSince Aug 17, 2024 Accepting new patients
Copiah County Medical Center Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
State of Mississippi-University of Mississippi Medical Center Past Accepting new patients
Peter J Jensen MD PC Family Medicine Past Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

2506 Lakeland Dr
Ste 310
Flowood, MS 39232
Phone (321) 229-8868

960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000

12057 Highway 49
Ste C
Gulfport, MS 39503
Phone (228) 831-1140

27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000

1220 E Northside Dr
Ste 220
Jackson, MS 39211
Phone (601) 298-4173

54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100

Interoperability endpoints

  • Direct secure messaging: michael.bookhardt@centerwell.eclinicaldirectplus.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1881034254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 LAKELAND DR STE 310",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327640",
            "telephone_number": "321-229-8868",
            "fax_number": "769-572-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 LAKELAND DR STE 310",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327640",
            "telephone_number": "321-229-8868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Marion Ave",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "396482705",
            "country_code": "US",
            "telephone_number": "601-249-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOKHARDT",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "24519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.