Active NPI
Yogesh N Gandhi, MD
- General Practice Physician
- Ft Bragg, NC
National Provider Identifier
1164593141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME41849
- Practice address
- M4861 Logistics Ave
Joel Health Clinic
Ft Bragg, NC 28310 - Phone
- (910) 907-5635
- Fax
- (910) 907-9828
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME41849 | FL | Primary |
Addresses
Primary practice location
M4861 Logistics Ave
Joel Health Clinic
Ft Bragg, NC 28310
Mailing address
2817 Reilly Road
MCXC Cod Credentials Womack Army Medical Center
Fort Bragg, NC 28310
Phone (910) 907-8922
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME41849 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164593141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 REILLY ROAD",
"address_2": "MCXC COD CREDENTIALS WOMACK ARMY MEDICAL CENTER",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "28310",
"telephone_number": "910-907-8922",
"fax_number": "910-907-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "M4861 LOGISTICS AVE",
"address_2": "JOEL HEALTH CLINIC",
"city": "FT BRAGG",
"state": "NC",
"postal_code": "28310",
"telephone_number": "910-907-5635",
"fax_number": "910-907-9828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDHI",
"first_name": "YOGESH",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME41849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.