Sourabh Bidhan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

327372 Issued in LA

Practice address

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237

Phone

(828) 456-7311

Fax

(252) 962-3320

NPI assigned

May 24, 2018

Reactivated

Apr 5, 2019

Last updated

Mar 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sbidhan1139412@direct.unc.nchie.net
• Direct secure messaging: sbidhan960999@direct.vumc.org

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.

• Cogent Healthcare of North Carolina, PC

  • Internal Medicine Physician
  • Rocky Mount, NC
  • NPI 1548207483
  Medicare reassignment NPD
• Lsu Health Sciences Center Shreveport Faculty Group Practice

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1013374222

  Internal Medicine

  NPD
• Brfhh Monroe LLC

  dba Ochsner LSU Health Monroe

  • General Acute Care Hospital
  • Monroe, LA
  • NPI 1215939210
  NPD (past)

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1356832331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 W KIRBY PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033822",
            "telephone_number": "318-626-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 CURTIS ELLIS DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042237",
            "telephone_number": "828-456-7311",
            "fax_number": "252-962-3320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4864 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712026400",
            "country_code": "US",
            "telephone_number": "346-351-0795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIDHAN",
        "first_name": "SOURABH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-24",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "deactivation_date": "2019-03-08",
        "reactivation_date": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "327372",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "327372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Lynn Bernard, LCSW
• Mark Bernat, MD
• Best Healthcare Agency, LLC
• Linda Faye Best, LPC
• Better Days Ahead of Rocky Mount Inc
• Bio-Medical Applications of North Carolina, Inc. (Fresenius Medical Care South Rocky Mount)
• Bio-Medical Applications of North Carolina, Inc. (Rocky Mount Kidney Center)
• Bio-Medical Applications of North Carolina, Inc. (Fresenius Kidney Care Boice-Willis)
• Bio-Medical Applications of North Carolina, Inc. (Bma East Rocky Mount)
• Heidi Forte Bishop, PA-C

• Internal Medicine Physician in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.