Devinderjit S Bhangu, MD PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

4301071280 Issued in MI

Legal business name

DEVINDERJIT S BHANGU, MD PLLC

Practice address

3605 Genesys Pkwy
Grand Blanc, MI 48439-8070

Phone

(810) 606-7152

Fax

(810) 606-7155

NPI assigned

May 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Devinderjit S Bhangu, MDNPI 1952481210

Title

Owner

Phone

(810) 606-7152

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Devinderjit Singh Bhangu, MD

  • Neurology Physician
  • Grand Blanc, MI
  • NPI 1952481210
  Medicare reassignment Authorized official
• Christina Marie Brooks, FNP-C

  • Family Nurse Practitioner
  • Grand Blanc, MI
  • NPI 1164187837
  Medicare reassignment NPD
• Raminder Kaur Bhangu

  • Psychiatry Physician
  • Grand Blanc, MI
  • NPI 1326547084
  Medicare reassignment
• Jennifer Jo Boyer, PA

  • Physician Assistant
  • Port Charlotte, FL
  • NPI 1407181647
  NPD
• Amod S Tootla, MD

  • Specialist
  • Waterford, MI
  • NPI 1841340510
  NPD (past)

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1225204399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 835",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480990835",
            "telephone_number": "248-346-3062",
            "fax_number": "810-606-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 GENESYS PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398070",
            "telephone_number": "810-606-7152",
            "fax_number": "810-606-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINDERJIT S BHANGU, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "BHANGU",
        "authorized_official_first_name": "DEVINDERJIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-606-7152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "4301071280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS OF MICHIGAN",
            "identifier": "0983359",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK OF MICHIGAN",
            "identifier": "0250410",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "0250410",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3498834",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khyati Desai
• Roberto Desarden, MD
• Desgranges Psychiatric Center
• Louise Desgranges, MD
• Renae Deshaw, OTRL
• Julie Marie Devine, PTA
• Devoted Dental Group GB PLLC
• Frances Dexter, R.D.H.
• Keeya Dezfoli, MD
• Jasveen Kaur Dhadli, MD

• Medical Specialty Clinic/Center in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Medical Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.