JOURDAN BRADSHAW GARD DO NPI 1346731296

NPI Information

  • NPI: 1346731296
  • Provider Name: JOURDAN BRADSHAW GARD, DO
  • Classification: Orthopaedic Surgery - 207XS0106X
  • Specialization: Hand Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11012 E 13 MILE RD STE 112
    WARREN, MI
    ZIP 48093
  • Phone: (586) 573-6880

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NPI Details

Jourdan Bradshaw Gard, DO is a hand surgery orthopaedic surgery in Warren, MI with 8 years of experience. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. Jourdan Bradshaw Gard, DO NPI is 1346731296. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CAMPBELL UNIV SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year:2018

The provider's business location address is:

11012 E 13 MILE RD STE 112
WARREN, MI
ZIP 48093-546
Phone: (586) 573-6880

The NPI 1346731296 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/27/2018 and was last updated on 9/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0106XOrthopaedic SurgeryHand Surgery5101027918MICHIGANYes
2207X00000XOrthopaedic Surgery5101023987MICHIGANNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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