Active NPIIndividual provider

Dr. Susan Bard, MD

Dermatology in Brooklyn, New York

NPI Number1134387657
Practice location
1250 Ocean Pkwy Ste Ln, Brooklyn, NY 11230-5155
Fax
—
Last updated
March 22, 2023

Susan Bard is a Dermatology based in Brooklyn, NY. Susan Bard practices in Brooklyn, NY and has the professional credentials of MD. The NPI Number for Susan Bard is 1134387657 and holds a License No. 265149 (NY). The current practice location address for Susan Bard is 1250 Ocean Pkwy Ste Ln, Brooklyn, NY 11230-5155 and can be reached out via phone at 718-500-3505.

Provider Profile Details

NPI Number
1134387657
Provider Name
Susan Bard
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1250 Ocean Pkwy Ste Ln, Brooklyn, NY 11230-5155
Phone Number
718-500-3505
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
No
Provider Enumeration Date
May 30, 2008
Last Update Date
March 22, 2023
Certification Date
March 22, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1250 Ocean Pkwy Ste Ln
Brooklyn, NY 11230-5155
Zip
11230-5155
Phone Number
718-500-3505
Brooklyn, NY 11230Get directions →

Provider Business Mailing Address Details

Address
1 Irving Pl Apt U20e
New York, NY 10003-9729
City
New York
State
NY
Zip
10003-9729
Phone Number
718-500-3505
Fax Number
844-704-5854

License Information

License Number (1)
265149
License State (1)
NY
Taxonomy (1)
Dermatology · 207N00000X · Primary
License Number (2)
103698
License State (2)
FL
Taxonomy (2)
Dermatology · 207N00000X
License Number (4)
25MA09134000
License State (4)
NJ
Taxonomy (4)
Dermatology · 207N00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Susan Bard, MD?

The NPI number of Dr. Susan Bard, MD is 1134387657. It was assigned on May 30, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Susan Bard, MD?

Dr. Susan Bard, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in NY under license number 265149.

Where does Dr. Susan Bard, MD practice?

The practice location is 1250 Ocean Pkwy Ste Ln, Brooklyn, NY 11230-5155. The office can be reached at 718-500-3505 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134387657 directly on the NPPES registry website.

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