Individual provider Active NPI

Bernard A Ram, MD

  • Urology Physician
  • Toccoa, GA
National Provider Identifier
1114910510
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
31309 Issued in GA
Practice address
58 Big a Road
Toccoa, GA 30577-6017
Phone
(706) 886-3151
Fax
(706) 282-7781
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 31309 GA Primary

Addresses

Primary practice location

58 Big a Road
Toccoa, GA 30577-6017

Mailing address

58 Big a Road
Toccoa, GA 30577-6017
Phone (706) 886-3151

Other identifiers 1

IdentifierTypeStateIssuer
000376791BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040420000824 GA Practitioner - Urology 7719972454 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31309GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ram Urological Associates Urology CurrentSince Apr 24, 2012 Accepting new patients
Toccoa Clinic Medical Associates, LLP CurrentSince Feb 17, 2004 Accepting new patients

Locations

101 Adams Dr
Ste A
Demorest, GA 30535
Phone (706) 754-3054

12192 Augusta Rd
Lavonia, GA 30553
Phone (706) 356-1072

58 Big a Rd
Toccoa, GA 30577
Phone (706) 886-3148

Organizations & group practices 2

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1114910510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BIG A ROAD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776017",
            "telephone_number": "706-886-3151",
            "fax_number": "706-282-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 BIG A ROAD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776017",
            "telephone_number": "706-886-3151",
            "fax_number": "706-282-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAM",
        "first_name": "BERNARD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "31309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000376791B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toccoa, GA

Sources for this page

Verify at the official NPI Registry.