DR. MARK BIDWELL M.D. NPI 1801980784

NPI Information

NPI: 1801980784
Provider Name: DR. MARK BIDWELL, M.D.
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Individual

Specialization: Reproductive Endocrinology

PECOS Registration: Yes

Address:
3533 SOUTHERN BLVD
SUITE 4100
KETTERING, OH
ZIP 45429
Phone: (937) 395-8444
Get Directions

DR. Mark Bidwell, M.D. is a reproductive endocrinology obstetrics gynecology in Kettering, OH. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. DR. Mark Bidwell, M.D. NPI is 1801980784. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3533 SOUTHERN BLVD
SUITE 4100
KETTERING, OH
ZIP 45429-264
Phone: (937) 395-8444
Fax: (937) 395-8450

The NPI 1801980784 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 10/3/2006 and was last updated on 7/28/2014.

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
1	207VE0102X	Obstetrics & Gynecology	Reproductive Endocrinology	35052666	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	884330E	OTHER		AMERICAN BD. OF OBGYN
2	38587	OTHER	OHIO	NO.CAROLINA LICENSE NO.
3	E45550	MEDICARE UPIN	OHIO
4	0599946	MEDICAID	OHIO
5	H097090	MEDICARE PIN	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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