Individual provider Active NPI

Bhasker R Pujari, M.D.

  • Urology Physician
  • Bluefield, WV
National Provider Identifier
1114981503
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
10308 Issued in WV
Practice address
1331 Southview Dr
Suite 2
Bluefield, WV 24701-4320
Phone
(304) 327-3495
Fax
(304) 327-2989
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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 10308 WV Primary

Addresses

Primary practice location

1331 Southview Dr
Suite 2
Bluefield, WV 24701-4320

Mailing address

1333 Southview Dr
P. O. Box 1190
Bluefield, WV 24701-4317
Phone (304) 327-3495

Other identifiers 1

IdentifierTypeStateIssuer
0130730000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10308WVMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Community Hospital Assn Inc. Urology Past Accepting new patients
St. Luke'S Princeton LLC Past Accepting new patients

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1114981503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 SOUTHVIEW DR",
            "address_2": "P. O. BOX 1190",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247014317",
            "telephone_number": "304-327-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 SOUTHVIEW DR",
            "address_2": "SUITE 2",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247014320",
            "telephone_number": "304-327-3495",
            "fax_number": "304-327-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUJARI",
        "first_name": "BHASKER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WV",
            "license": "10308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0130730000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.