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NPI Code Detail

MEDICARE: DR. KERN J BAYARD MD

MEDICARE: DR. KERN J BAYARD 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
1207R00000XInternal Medicine Physician73602MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699777888
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KERN J BAYARD MD
Provider Business Mailing Address
First Line : 5 NEPONSET ST
Second Line : WOT 2ND FL, STE C203
City : WORCESTER
State : MA
Zip : 01606-2714
Country : US
Telephone Number : 508-595-2300
Fax Number : 508-853-5226
Provider Business Practice Location Address
First Line : 5 NEPONSET ST
Second Line :
City : WORCESTER
State : MA
Zip : 01606-2714
Country : US
Telephone Number : 508-595-2300
Fax Number : 508-853-5226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 09/17/2018

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Directions to “ DR. KERN J BAYARD MD” Practice Location

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