Individual provider Active NPI

Sukhbir Singh Bhurji, PA-C

  • Physician Assistant
  • Bowie, MD
National Provider Identifier
1255762902
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C05282 Issued in MD
Practice address
4000 Mitchellville Rd Ste B322
Bowie, MD 20716
Phone
(301) 860-0305
Fax
(888) 559-3840
NPI assigned
Dec 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C05282 MD Primary

Addresses

Primary practice location

4000 Mitchellville Rd Ste B322
Bowie, MD 20716

Mailing address

4000 Mitchellville Rd Ste B322
Bowie, MD 20716-3176
Phone (301) 860-0305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140605000808 MD Practitioner - Physician Assistant 8426272873 Reassigns benefits to 3 organizations
I20260304001755 DC Practitioner - Physician Assistant 8426272873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifestream Health CenterGroup PAC ID 4284870072, 6 clinicians

Practice addresses (Care Compare)

4000 Mitchellville Rd
Suite B322
Bowie, MD 20716-3176
Phone (301) 860-0305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C05282MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jul 5, 2017 Accepting new patients
Newbridge Spine and Pain Center, LLC CurrentSince Mar 17, 2014 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 5, 2017 Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

196 Thomas Johnson Dr
Ste 215
Frederick, MD 21702
Phone (301) 668-9988

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

Interoperability endpoints

  • Direct secure messaging: sukhbir.bhurji.1@20459.direct.athenahealth.com

Organizations & group practices 6

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": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1255762902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD STE B322",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163176",
            "telephone_number": "301-860-0305",
            "fax_number": "888-559-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD STE B322",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20716",
            "telephone_number": "301-860-0305",
            "fax_number": "888-559-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHURJI",
        "first_name": "SUKHBIR",
        "middle_name": "SINGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-05",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C05282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.