NPIMap

Individual provider Active NPI

Narinder P Bhalla, M.D.

  • Specialist
  • Montgomery, AL
National Provider Identifier
1275539702
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101221234 Issued in VA
Practice address
185 Mitylene Park LN
Montgomery, AL 36117-7302
Phone
(334) 387-0948
Fax
(334) 387-0956
NPI assigned
Jun 21, 2005
Last updated
Mar 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101221234 VA Primary
Cardiovascular Disease Physician 207RC0000X 28644 AL

Addresses

Primary practice location

185 Mitylene Park LN
Montgomery, AL 36117-7302

Mailing address

185 Mitylene Park LN
Montgomery, AL 36117-7302
Phone (334) 387-0948

Other identifiers 1

IdentifierTypeStateIssuer
005832667MedicaidVA

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
0101221234VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center Past Accepting new patients
Caledonian Health Center PastSince Dec 1, 2004 Accepting new patients
TBHC Medical Services PC Cardiovascular Disease Past Accepting new patients
TBHC Ecg Med Services PC Past Accepting new patients

Organizations & group practices 4

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1275539702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MITYLENE PARK LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177302",
            "telephone_number": "334-387-0948",
            "fax_number": "334-387-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MITYLENE PARK LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177302",
            "telephone_number": "334-387-0948",
            "fax_number": "334-387-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHALLA",
        "first_name": "NARINDER",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101221234",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "28644",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005832667",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.