MARK BIDWELL M.D. – NPI #1801980784
Obstetrics & Gynecology

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

MARK BIDWELL is a physician located in KETTERING, OH. NPPES has assigned the NPI number 1801980784 to MARK BIDWELL on October 03, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207VE0102X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Reproductive Endocrinology

The NPI profile was previously updated about 12 years ago on Jul 28, 2014. 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 MARK BIDWELL below.

NPI Profile for
MARK BIDWELL

NPI Number
1801980784
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK BIDWELL
Credentials
M.D.
Primary location
3533 SOUTHERN BLVD
SUITE 4100
KETTERING, OH 45429-1264
Phone: (937) 395-8444 Fax: (937) 395-8450
Mailing address
1 PRESTIGE PL
SUITE 550
MIAMISBURG, OH 45342-3794
Phone: (937) 752-2305 Fax: (937) 522-7513
Sole Proprietor
No
Updated
Identifiers

Identifiers for MARK BIDWELL

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.

DescriptionIssuerStateIdentifier
OTHERAMERICAN BD. OF OBGYN884330E
OTHERNO.CAROLINA LICENSE NO.OH38587
MEDICAIDOH0599946
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
207VE0102X
- Obstetrics & Gynecology / Reproductive Endocrinology (Primary)
OH 35052666

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.