Active NPI
Michael Bookhardt, M.D.
- Family Medicine Physician
- Flowood, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24519
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24519 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grenada Physician Services, LLC | Current | Accepting new patients | |
| Centerwell Senior Primary Care Ms PC | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care Ms PC | Family Medicine | Current | Accepting new patients |
| Comprehensive Hospitalists of Ms, LLC | Current | Accepting new patients | |
| Comprehensive Hospitalists of Ms, LLC | Current | Accepting new patients | |
| Comprehensive Hospitalists of Ms, LLC | Current | Accepting new patients | |
| Southeast Regional Medical Solutions, PLLC | Family Medicine | Current | Accepting new patients |
| Copiah County Medical Center | Current | Accepting new patients | |
| Centerwell Senior Primary Care Ms PC | Family Medicine | Current | Accepting new patients |
| Good Faith Wellness Center PLLC | Current | Accepting new patients | |
| Natchez HB Medical Services LLC | Current | Accepting new patients | |
| Copiah County Medical Center | Family Medicine | Current | 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
- 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.
-
- Hospitalist Physician
- Grenada, MS
- NPI 1932762721
-
dba CenterWell Senior Primary Care-Biloxi
- Internal Medicine Physician
- Biloxi, MS
- NPI 1841902830
Family Medicine
-
- Hospitalist Physician
- Amory, MS
- NPI 1467856385
-
- Critical Access Hospital
- Hazlehurst, MS
- NPI 1588667281
-
dba Merit Health Natchez
- Emergency Medicine Physician
- Natchez, MS
- NPI 1770264459
-
- Family Medicine Physician
- Flowood, MS
- NPI 1780241729
-
- Multi-Specialty Clinic/Center
- Flowood, MS
- NPI 1174387963
-
- Family Medicine Physician
- Hattiesburg, MS
- NPI 1538200209
-
dba CenterWell Senior Primary Care-Gulfport
- Internal Medicine Physician
- Gulfport, MS
- NPI 1003528092
Family Medicine
-
dba CenterWell Senior Primary Care-Jackson West
- Internal Medicine Physician
- Jackson, MS
- NPI 1821864174
Family Medicine
-
- Hospitalist Physician
- Oxford, MS
- NPI 1659779767
-
- Hospitalist Physician
- Clarksdale, MS
- NPI 1710371679
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
dba University of Mississippi Center - Grenada Psych
- Psychiatric Hospital
- Grenada, MS
- NPI 1083041917
-
dba University of Mississippi Center-Grenada
- General Acute Care Hospital
- Grenada, MS
- NPI 1558798603
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.