Individual provider Active NPI

Brij Bhushan Rana, M.D.

  • Internal Medicine Physician
  • Live Oak, FL
National Provider Identifier
1275521445
Registry record updated Apr 19, 2018
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective May 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0000028083 Issued in FL
Practice address
609 5TH St SW
Ste 5
Live Oak, FL 32064-2239
Phone
(386) 208-1200
Fax
(386) 208-1300
NPI assigned
Oct 11, 2005
Last updated
Apr 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0000028083 FL Primary

Addresses

Primary practice location

609 5TH St SW
Ste 5
Live Oak, FL 32064-2239

Mailing address

609 5TH St SW
Ste 5
Live Oak, FL 32064-2239
Phone (386) 208-1200

Other identifiers 2

IdentifierTypeStateIssuer
3158071OtherTNBLUE CROSS
3807770MedicaidTN

Other names 1

  • Dr. Brij Bhushan Rana Professional name

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000028083FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anjana Rana Internal Medicine Current Accepting new patients
Cookeville Regional Medical Center Single Specialty 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1275521445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 5TH ST SW",
            "address_2": "STE 5",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320642239",
            "telephone_number": "386-208-1200",
            "fax_number": "386-208-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 5TH ST SW",
            "address_2": "STE 5",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320642239",
            "telephone_number": "386-208-1200",
            "fax_number": "386-208-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANA",
        "first_name": "BRIJ",
        "middle_name": "BHUSHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "MD0000028083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "3158071",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3807770",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIJ",
            "last_name": "RANA",
            "middle_name": "BHUSHAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Live Oak, FL

Sources for this page

Verify at the official NPI Registry.