Individual provider Active NPI

Brian J Bhagat, M.D.

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1396746582
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301076705 Issued in MI
Practice address
G1071 N Ballenger Hwy
Suite 206
Flint, MI 48504-4453
Phone
(810) 234-1651
Fax
(810) 424-3912
NPI assigned
Aug 10, 2005
Last updated
Jan 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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 4301076705 MI Primary

Addresses

Primary practice location

G1071 N Ballenger Hwy
Suite 206
Flint, MI 48504-4453

Mailing address

G1071 N Ballenger Hwy
Suite 206
Flint, MI 48504-4453
Phone (810) 234-1651

Other identifiers 1

IdentifierTypeStateIssuer
4552998MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080414000044 MI Practitioner - Internal Medicine 0042397143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Medical Clinics PCGroup PAC ID 0941340665, 10 clinicians

Practice addresses (Care Compare)

1165 S Linden Rd
Flint, MI 48532-3406

1165 S Linden Rd St a
Flint, MI 48532-3406
Phone (810) 732-5400

G-1071 N Ballenger Hwy 206
Flint, MI 48504-4453
Phone (810) 234-1651

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brian J Bhagat MD PC Internal Medicine Current Accepting new patients
Premier Medical Clinics PC CurrentSince Jan 2, 2010 Accepting new patients

Locations

1165 S Linden Rd
#A
Flint, MI 48532
Phone (810) 732-5400

1165 S Linden Rd
#B
Flint, MI 48532
Phone (810) 600-6300

G1071 N Ballenger Hwy
Ste 206
Flint, MI 48504
Phone (810) 234-1651

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
McLaren FlintFlint, MI, CCN 230141 Hospital Corporate Director Jun 1, 2018
McLaren FlintFlint, MI, CCN 23S141 Hospital Corporate Director Jun 1, 2018
McLaren FlintFlint, MI, CCN 23T141 Hospital Corporate Director Jun 1, 2018

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 4

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1396746582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G1071 N BALLENGER HWY",
            "address_2": "SUITE 206",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044453",
            "telephone_number": "810-234-1651",
            "fax_number": "810-600-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G1071 N BALLENGER HWY",
            "address_2": "SUITE 206",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044453",
            "telephone_number": "810-234-1651",
            "fax_number": "810-424-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAGAT",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301076705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4552998",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.