Provider Demographics
NPI:1407853948
Name:BIGELOW, CHRISTOPHER JON (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JON
Last Name:BIGELOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:400 JOSEPH DR STE B
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48642-8636
Mailing Address - Country:US
Mailing Address - Phone:989-631-2020
Mailing Address - Fax:989-835-6686
Practice Address - Street 1:400 JOSEPH DR STE B
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-8636
Practice Address - Country:US
Practice Address - Phone:989-631-2020
Practice Address - Fax:989-835-6686
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301056492207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1805606351OtherBCBS
MI3085182Medicaid
MI1407853948OtherNPI
MI180019930OtherRAILROAD MEDICARE
MI0256160001OtherDMERC-MEDICARE
MI0256160001OtherDMERC-MEDICARE
MI180019930OtherRAILROAD MEDICARE
MIF86930Medicare UPIN