ROBERT M JR. BOUVIER (M.D.) – Internal Medicine Physician, NPI 1124011291

ROBERT M JR. BOUVIER (M.D.) is a healthcare provider. based in Grand blanc, Michigan. specializing in FAMILY PRACTICE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301048801 (MI). The NPI Number for ROBERT M JR. BOUVIER (M.D.) is 1124011291

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT M JR. BOUVIER (M.D.)
NPI
1124011291
Phone
(810) 694-7412
Address
12741 S SAGINAW ST
Enumeration Date
24 August 2005
Last Update Date
5 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8106947412
Graduation Year
1985 (41 years ago)
PAC ID
7113811308
Professional Enrollment ID
I20080823000087
Address ID
MI485074421GR5536XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for ROBERT M JR. BOUVIER (M.D.)

  • 12741 S SAGINAW ST

    SUITE 402

    GRAND BLANC, MI 484392460

    Phone: (810) 694-7412

    Fax: (866) 200-1503

    Type: Mailing

  • 5536 S SAGINAW RD

    GRAND BLANC, MI 485074421

    Phone: (810) 694-7412

    Fax: (866) 200-1503

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 109 Open Payments records for all available years, with a total value of $1,576.

Total Amount is formed as General ($1,576) + Research ($0) + Ownership ($0) = $1,576.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($324).

Total Amount

$1,576

General + Research + Ownership

Payments

109

Total payment records

General Amount

$1,576

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080823000087IFamily PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,032149$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month73887$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report6463$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5757$0
96372Injection of drug or substance under skin or into muscle3714$0
View full utilization report →

Insurance plans in this area (ZIP 48439)

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Reviews

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Frequently asked questions

What identifier follows ROBERT M JR. BOUVIER (M.D.) across health systems?
The NPI 1124011291 uniquely identifies ROBERT M JR. BOUVIER (M.D.) in U.S. healthcare data.
Is ROBERT M JR. BOUVIER (M.D.)'s NPI status active today?
Active status means ROBERT M JR. BOUVIER (M.D.)'s NPI record is not deactivated in the public file.
What services align with ROBERT M JR. BOUVIER (M.D.)'s listing?
ROBERT M JR. BOUVIER (M.D.)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ROBERT M JR. BOUVIER (M.D.)?
ROBERT M JR. BOUVIER (M.D.) is associated with Grand Blanc, Michigan in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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