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

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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