Individual
KEVIN J BARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13060 ISLE DR, BAXTER, MN 56425-8331
(218) 828-2880
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36003
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0118449
MEDICA
MN
05
—
0572149
—
IA
01
—
080163236
RR MEDICARE
—
01
—
105085
UCARE
MN
05
—
204283500
—
MN
01
—
21851
AMERICAS PPO
MN
05
—
32013500
—
WI
01
—
41084933956001C072
CHAMPUS
—
01
—
62B41BA
BCBS
MN
01
—
HP15832
HEALTH PARTNERS
MN
01
—
NA2951006282
PREFERRED ONE
MN
Enumeration date
01/10/2006
Last updated
07/08/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us