MEDICARE: JOHN GREGORY BEAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	25MA03697800	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	J1589	OTHER	HORIZON
2	F16376	OTHER	HEALTH NET
3	824719300	OTHER	CIGNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114972163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN GREGORY BEAR MD

Provider Business Mailing Address
First Line	:	230 LAUREL HEIGHTS DRIVE
Second Line	:
City	:	BRIDGETON
State	:	NJ
Zip	:	08302-3634
Country	:	US
Telephone Number	:	856-451-9595
Fax Number	:	856-451-4130

Provider Business Practice Location Address
First Line	:	230 LAUREL HEIGHTS DRIVE
Second Line	:
City	:	BRIDGETON
State	:	NJ
Zip	:	08302-3634
Country	:	US
Telephone Number	:	856-451-9595
Fax Number	:	856-451-4130

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	12/14/2010

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Directions to “ JOHN GREGORY BEAR MD” Practice Location

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