Active NPI
Bhadrik I Patel, PA
- Physician Assistant
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1501
- Practice address
- 1120 Sparkleberry Lane Ext Ste a&B
Columbia, SC 29223-7078 - Phone
- (803) 851-0605
- Fax
- (803) 769-7886
- NPI assigned
- Jun 24, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1501 | SC | Primary |
Addresses
Primary practice location
1120 Sparkleberry Lane Ext Ste a&B
Columbia, SC 29223-7078
Mailing address
1120 Sparkleberry Lane Ext Ste a&B
Columbia, SC 29223-7078
Phone (803) 851-0605
Other practice location 1
3 Richland Medical Park Dr
Suite 310
Columbia, SC 29203-6849
Phone (803) 434-8323
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PG1133 | Medicaid | SC | |
| N110 | Other | SC | MEDICARE |
| PA1501 | Other | SC | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 Sparkleberry Lane Ext
Suite a
Columbia, SC 29223-7078
Phone (803) 851-0605
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1501 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Health - University of South Carolina Medical Group | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Colonial Family Practice, LLC | Physician Assistant | Current | Accepting new patients |
| Colonial Family Practice, LLC | Physician Assistant | Current | Accepting new patients |
| University Specialty Clinics Neurosurgery | Past | Accepting new patients |
Locations
14 Richland Medical Park Dr
Ste 200
Columbia, SC 29203
Phone (803) 296-9200
1850 Laurel St
Columbia, SC 29201
Phone (803) 256-3400
3 Richland Medical Park Dr
Ste 310
Columbia, SC 29203
Phone (803) 434-8323
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
325 Broad St
Ste 100
Sumter, SC 29150
674 W Liberty St
Sumter, SC 29150
Phone 80377352276010
Interoperability endpoints
- bpatel383358@direct.ghs.myhfn.org
- wecarefamilymedicineandurgentcare.bhadrikpatel@152814.advancedmd-direct.com
- https://fhir4.healow.com/fhir/r4/CIHIBD
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Columbia, SC
- NPI 1851038749
-
- Emergency Medicine Physician
- Hartsville, SC
- NPI 1457878084
-
- Family Medicine Physician
- Sumter, SC
- NPI 1518074640
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
- Psychiatric Hospital
- West Columbia, SC
- NPI 1841586187
-
- Family Medicine Physician
- Camden, SC
- NPI 1033402599
Physician Assistant
-
- Family Medicine Physician
- Sumter, SC
- NPI 1225687338
Physician Assistant
-
- Family Medicine Physician
- Sumter, SC
- NPI 1295211894
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
-
- Neurological Surgery Physician
- Columbia, SC
- NPI 1740450915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1093943466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 SPARKLEBERRY LANE EXT STE A&B",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292237078",
"telephone_number": "803-851-0605",
"fax_number": "803-769-7886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 SPARKLEBERRY LANE EXT STE A&B",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292237078",
"telephone_number": "803-851-0605",
"fax_number": "803-769-7886"
}
],
"practiceLocations": [
{
"address_1": "3 Richland Medical Park Dr",
"address_2": "Suite 310",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036849",
"country_code": "US",
"telephone_number": "803-434-8323",
"fax_number": "803-434-8326",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "BHADRIK",
"middle_name": "I",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-24",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "1501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PG1133",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "N110",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "PA1501",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.