Individual provider Active NPI

Bhadrik I Patel, PA

  • Physician Assistant
  • Columbia, SC
National Provider Identifier
1093943466
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1501 Issued in SC
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

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PG1133MedicaidSC
N110OtherSCMEDICARE
PA1501OtherSCMEDICAL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110104000236 SC Practitioner - Physician Assistant 3274670930 Reassigns benefits to 5 organizations

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
We Care Family Health, LLCGroup PAC ID 2668854324, 3 clinicians

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

LicenseStateTypeSpecialty
1501SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Health - University of South Carolina Medical Group CurrentSince Oct 9, 2020 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Oct 9, 2020 Accepting new patients
Colonial Family Practice, LLC Physician Assistant CurrentSince Nov 4, 2020 Accepting new patients
Colonial Family Practice, LLC Physician Assistant CurrentSince Nov 4, 2020 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

  • Direct secure messaging: bpatel383358@direct.ghs.myhfn.org
  • Direct secure messaging: wecarefamilymedicineandurgentcare.bhadrikpatel@152814.advancedmd-direct.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.