Gurpal Singh Bindra, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD21989 Issued in TN

Practice address

1716 Parr Ave
Suite a
Dyersburg, TN 38024-2073

Phone

(731) 286-0149

Fax

(731) 286-6956

NPI assigned

Aug 9, 2005

Last updated

Apr 7, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gurpal.bindra.1@2830.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West TN Medical, PLLC

  • Legal Medicine
  • Dyersburg, TN
  • NPI 1023053386
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1093716490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 PARR AVE",
            "address_2": "SUITE A",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242073",
            "telephone_number": "731-286-0149",
            "fax_number": "731-286-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 PARR AVE",
            "address_2": "SUITE A",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242073",
            "telephone_number": "731-286-0149",
            "fax_number": "731-286-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINDRA",
        "first_name": "GURPAL",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD21989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1750515532",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP #  WEST TN MEDICAL, PLLC",
            "identifier": "3725948",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #   RURAL HEALTH CLINICS OF WEST TN, PLLC",
            "identifier": "3730286",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP #   RURAL HEALTH CLINICS OF WEST TN, PLLC",
            "identifier": "3730286",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "192526",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3064931",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #  WEST TN MEDICAL, PLLC",
            "identifier": "3725948",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kara Blevins
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• Specialist in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.