Individual provider Active NPI

Pramod Bhatia, MD

  • Otolaryngology Physician
  • Talladega, AL
National Provider Identifier
1104808245
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
14893 Issued in AL
Practice address
204 Medical Office Park
Talladega, AL 35160-2213
Phone
(256) 761-1729
NPI assigned
Nov 15, 2005
Last updated
Jun 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 14893 AL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20100330001301 AL Practitioner - Otolaryngology 7911033832 Reassigns benefits to 1 organization
Practice locations: Talledega, AL; Pell City, AL; Anniston, AL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Management Corporation CurrentSince Apr 11, 2012 Accepting new patients
Regional Health Management Corporation CurrentSince Apr 11, 2012 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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1104808245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MEDICAL OFFICE PARK",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602213",
            "telephone_number": "256-761-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MEDICAL OFFICE PARK",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602213",
            "telephone_number": "256-761-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATIA",
        "first_name": "PRAMOD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "14893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Talladega, AL

Sources for this page

Verify at the official NPI Registry.