Aditya Brahmbhatt, MD
Individual provider Active NPI Family Medicine Physician · Dover, DE
NPI 1013762459 · NPPES record last updated Apr 19, 2024
Key facts
- NPI
- 1013762459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- C7-0018571 (DE)
- Practice address
- 1074 South State Street
Mailcode: 3007
Dover, DE 19901 - Phone
- (302) 725-3200
- NPI assigned
- Apr 19, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240429000768 | DE | Order and Referring Only - Family Practice |
2264872944 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7-0018571 | DE | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C7-0018571 | DE | Yes |
Addresses
Primary practice location
1074 South State Street
Mailcode: 3007
Dover, DE 19901
Mailing address
640 South State Street Mailcode: 3007
Dover, DE 19901
Other providers in Dover, DE
- Isaiah L Brack
- Bradford Family Physicians LLC
- Judith Alicia Bradford
- Shelby Louise Bradford
- Michael J Bradley
- Joshua Bramble
- Mykel Bramble
- Rachel Brandenburg
- Todd A Brandt
- Brandywine Podiatry, PA
All providers in Dover, DE · Family Medicine Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.