Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cynthia R Bard

Individual provider Gerontology Nurse Practitioner · NPI 1710596481

Cynthia R Bard is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Dedicated Pennsylvania Holding LLC, an 18-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2020
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Practice location Address checks out

5675 N Frnt ST Ste 141
Philadelphia, PA 19120-2719
Phone: (267) 428-6575
Fax: (267) 262-6265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2500 Dekalb Pike, East Norriton, PA 19401-2007 — (484) 965-9566

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence SP021998 (PA)

Record details

NPI number1710596481
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 28, 2020
Last updated in NPPESDecember 20, 2024
Certification dateDecember 20, 2024
Mailing address5675 N Front St Ste 141, Philadelphia, PA 19120-2719

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Dedicated Pennsylvania Holding Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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