NPIMap

Individual provider Active NPI

Bharat Gopal, MD

  • Family Medicine Physician
  • Corvallis, OR
National Provider Identifier
1336168574
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD170577 Issued in OR
Practice address
3517 NW Samaritan Dr
Suite 201
Corvallis, OR 97330-3767
Phone
(541) 768-5142
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036105668 IL
Family Medicine Physician 207Q00000X MD170577 OR Primary

Addresses

Primary practice location

3517 NW Samaritan Dr
Suite 201
Corvallis, OR 97330-3767

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bgopal124636@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150731014225 OR Practitioner - Family Practice 3173653409 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Kansas City, School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians

Practice addresses (Care Compare)

3517 NW Samaritan Dr
Suite 201
Corvallis, OR 97330-3769
Phone (541) 768-5142

3600 NW Samaritan Dr
Corvallis, OR 97330-3737

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD170577ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Valley Healthcare Inc CurrentSince Jul 1, 2015 Accepting new patients
Albany General Hospital Family Medicine CurrentSince Dec 31, 2016 Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Jul 1, 2023 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Jun 1, 2015 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Jun 1, 2015 Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
Albany General Hospital CurrentSince Dec 31, 2016 Accepting new patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906

3517 NW Samaritan Dr
Ste 201
Corvallis, OR 97330
Phone (541) 768-5142

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

Interoperability endpoints

  • Direct secure messaging: bgopal124636@samhealth.direct-ci.com

Organizations & group practices 12

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.

Hospital & facility affiliations 67

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1336168574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 NW SAMARITAN DR",
            "address_2": "SUITE 201",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303767",
            "telephone_number": "541-768-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPAL",
        "first_name": "BHARAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036105668",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD170577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bgopal124636@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3517 NW Samaritan Dr",
            "address_2": "Suite 201",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.