BARD AND DIDRIKSEN PEDIATRICS, P.C.
NPI 1669553186
Pediatrics in Glen Carbon, IL
About Bard And Didriksen Pediatrics, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BARD AND DIDRIKSEN PEDIATRICS, P.C. (NPI 1669553186) is a healthcare organization registered as a pediatrics in Glen Carbon, Illinois and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through December 26, 2026 and lists Stephanie Marie Sudholt, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D0433433
Bard And Didriksen Pediatrics · Glen Carbon, ILFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bard And Didriksen Pediatrics, P.C.'s NPI number?
The NPI number for Bard And Didriksen Pediatrics, P.C. is 1669553186. It was assigned to this organization in the NPPES registry on October 18, 2006.
Where is Bard And Didriksen Pediatrics, P.C. located?
Bard And Didriksen Pediatrics, P.C. is located at 2160 So Il Rt 157 Suite B, Glen Carbon, IL 62034. The listed phone number is (618) 692-1212.
What is Bard And Didriksen Pediatrics, P.C.'s specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Does Bard And Didriksen Pediatrics, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D0433433) is associated with this NPI, valid through December 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Bard And Didriksen Pediatrics, P.C. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.
