KEVIN J. BARDWELL MD – NPI #1801875869
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

KEVIN BARDWELL is a physician located in BAXTER, MN. NPPES has assigned the NPI number 1801875869 to KEVIN BARDWELL on January 10, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 7 years ago on Jul 08, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEVIN BARDWELL below.

NPI Profile for
KEVIN J. BARDWELL

NPI Number
1801875869
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KEVIN J. BARDWELL
Credentials
MD
Primary location
13060 ISLE DR
BAXTER, MN 56425-8331
Phone: (218) 828-2880 Fax:
Mailing address
1702 UNIVERSITY DR S
FARGO, ND 58103-4940
Phone: Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for KEVIN BARDWELL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAMERICAS PPOMN21851
OTHERBCBSMN62B41BA
OTHERCHAMPUS41084933956001C072
OTHERHEALTH PARTNERSMNHP15832
OTHERMEDICAMN0118449
OTHERPREFERRED ONEMNNA2951006282
OTHERRR MEDICARE080163236
OTHERUCAREMN105085
MEDICAIDIA0572149
MEDICAIDMN204283500
MEDICAIDWI32013500
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
MN 36003

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE - Graduated 1991
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KEVIN BARDWELL is affiliated with the following medical group(s):
  • HOSPITAL
    • ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER
      523 NORTH 3RD STREET
      BRAINERD, MN 56401

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.