Individual provider Active NPI

Abdul S Bangura, M.D

  • Surgery Physician
  • Warner Robins, GA
National Provider Identifier
1386879310
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
065932 Issued in GA
Practice address
305 Latham Dr
Warner Robins, GA 31088-2126
Phone
(478) 287-2228
NPI assigned
May 19, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 065932 GA Primary

Addresses

Primary practice location

305 Latham Dr
Warner Robins, GA 31088-2126

Mailing address

305 Latham Dr
Warner Robins, GA 31088-2126
Phone (478) 287-2228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, ND, WI, MN4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240516002347 GA Practitioner - General Surgery 3274974688 Reassigns benefits to 2 organizations
I20241111002988 ND Practitioner - General Surgery 3274974688 Reassigns benefits to 2 organizations
I20250502000691 WI Practitioner - General Surgery 3274974688 Reassigns benefits to 4 organizations
I20250527002053 MN Practitioner - General Surgery 3274974688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Medford Hospital and Clinics IncGroup PAC ID 5799688602, shared by 9 NPIs, 126 clinicians

Practice addresses (Care Compare)

135 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-8100

Hospital & facility affiliations

  • Sanford Thief River Falls Medical Center Hospital, Thief River Falls, MN, CCN 241381

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
065932GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Hospital and Health Center CurrentSince Oct 10, 2024 Accepting new patients
Sanford Health Network CurrentSince May 8, 2025 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince May 9, 2025 Accepting new patients
Sanford Health Network North Current Accepting new patients
Surgical Affiliates of California Surgery CurrentSince May 15, 2024 Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince May 1, 2025 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince May 1, 2025 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince May 1, 2024 Accepting new patients
Sanford Health Network Current Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince May 1, 2025 Accepting new patients
Sanford Health Network North Surgery CurrentSince May 8, 2025 Accepting new patients
Sanford Health Network Surgery CurrentSince May 8, 2025 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince May 9, 2025 Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince Oct 10, 2024 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince May 1, 2025 Accepting new patients
Sanford Health Network North Current Accepting new patients
Sanford Health Network North CurrentSince May 8, 2025 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery PastSince Jul 2, 2023 Accepting new patients
Coal Country Community Health Center Past Accepting new patients
Aspirus Wausau Hospital, Inc. Past Accepting new patients

Locations

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-7800

355 Clear Creek Pkwy
Ste 1004
Lavonia, GA 30553
Phone (706) 356-0780

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

29980 Network Pl
Chicago, IL 60673

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100

1680 Diagonal Rd
Worthington, MN 56187
Phone (507) 372-3800

2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

143 S Gibson St
Medford, WI 54451
Phone (715) 748-2121

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

2031 Peach St
Wisconsin Rapids, WI 54494
Phone (715) 423-0122

Interoperability endpoints

  • Direct secure messaging: abdulbangura@normd.allscriptsdirect.net

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1386879310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 LATHAM DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882126",
            "telephone_number": "478-287-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 LATHAM DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882126",
            "telephone_number": "478-287-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGURA",
        "first_name": "ABDUL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "065932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.