Pramod Bhatia, MD
Individual provider Active NPI Otolaryngology Physician · Talladega, AL
NPI 1104808245 · NPPES record last updated Jun 7, 2019
Key facts
- NPI
- 1104808245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 14893 (AL)
- Practice address
- 204 Medical Office Park
Talladega, AL 35160-2213 - Phone
- (256) 761-1729
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- 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 |
|---|---|---|---|---|
| I20100330001301 | AL | Practitioner - Otolaryngology | 7911033832 |
Reassigns benefits to 1 organization Practice locations: Talledega, AL; Pell City, AL; Anniston, AL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Health Management Corporation | Current |
Accepting new patients | |
| Regional Health Management Corporation | Current |
Accepting new patients | |
| Birmingham Hematology Oncology Assoc LLC | Past | Accepting new patients |
Locations
901 Leighton Ave
Ste 204
Anniston, AL 36207
Phone (256) 235-5015
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 14893 | AL | Yes |
Addresses
Primary practice location
204 Medical Office Park
Talladega, AL 35160-2213
Mailing address
204 Medical Office Park
Talladega, AL 35160-2213
Phone (256) 761-1729
Other providers in Talladega, AL
- BBH CBMC, LLC
- BBH CBMC, LLC
- BBH CBMC, LLC
- BBH CBMC, LLC
- Tiffany Bell
- BHC-Gastroenterology
- Mary Rebecca Blankenship
- Sara Hughston Boggs
- Laura Joann Bond
- Catherine C Bonner
All providers in Talladega, AL · Otolaryngology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2019. 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.