# JOHN PIERRE GARDNER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124088620
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 200200029 | NC | Yes |

## Other

- **Enumeration date:** 03/27/2006
- **Last updated:** 04/28/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1306F | BCBS | NC |
| 01 | — | 2004787A | GHI | NC |
| 01 | — | 2195227 | FIRST HEALTH | NC |
| 01 | — | 2203524 | UNITED | NC |
| 01 | — | 3626378 | CIGNA | NC |
| 01 | — | 5332850001 | PALMETTO GBS | NC |
| 01 | — | D6798 | MEDCOST | NC |
| 01 | — | P00163043 | PALMETTO | NC |