Organization Active NPI

Bahman-Payman

  • Specialist
  • Pennington Gap, VA
National Provider Identifier
1114016979
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101030609 Issued in VA
Legal business name
BAHMAN-PAYMAN
Practice address
319 Locust St
Pennington Gap, VA 24277-2533
Phone
(276) 546-1999
Fax
(276) 546-1999
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Bahman - Payman, M.D.
Title
Facog
Phone
(276) 546-1999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101030609 VA Primary

Addresses

Primary practice location

319 Locust St
Pennington Gap, VA 24277-2533

Mailing address

319 Locust St
Pennington Gap, VA 24277-2533
Phone (276) 546-1999

Other identifiers 1

IdentifierTypeStateIssuer
6215947MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1114016979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 LOCUST ST",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242772533",
            "telephone_number": "276-546-1999",
            "fax_number": "276-546-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 LOCUST ST",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242772533",
            "telephone_number": "276-546-1999",
            "fax_number": "276-546-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAHMAN-PAYMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "PAYMAN",
        "authorized_official_first_name": "BAHMAN",
        "authorized_official_middle_name": "-",
        "authorized_official_title_or_position": "FACOG",
        "authorized_official_telephone_number": "276-546-1999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101030609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6215947",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington Gap, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.