Phillip B Bandel MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

F2165 Issued in TX

Legal business name

PHILLIP B BANDEL MD

Practice address

911 Lamar Ave
Paris, TX 75460-4681

Phone

(903) 785-7546

Fax

(903) 785-8445

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Phillip B Bandel, M.D.

Title

Owner

Phone

(903) 785-7546

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ajay Narayan Amarnani, MD

  • Dermatology Physician
  • Greenville, TX
  • NPI 1376987123
  NPD (past)
• Ragan Lynn Hurt, PA-C

  • Physician Assistant
  • Plano, TX
  • NPI 1154569820
  NPD (past)
• Garrett Lane Vick

  • Dermatology Physician
  • Houma, LA
  • NPI 1154708105
  NPD (past)

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1396928008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754604681",
            "telephone_number": "903-785-7546",
            "fax_number": "903-785-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754604681",
            "telephone_number": "903-785-7546",
            "fax_number": "903-785-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP B BANDEL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "BANDEL",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-785-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "F2165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100082700A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "826072054",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PIN",
            "identifier": "00794K",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081161401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "82291N",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brent Lee Peterson, D.C.
• Danise A Petticrew, RN, FNP-C
• Terrie Ashlyn Petty, FNP
• Kimberly L. Pham, D.D.S.
• Irene Philip, DO
• Brian Jay Phillips, MSN, APRN, BC, PMHNP
• Physical Therapy Clinic of Paris, LP
• Physicians Choice Dialysis of Paris LLC
• Michael D Pickering, PT
• Pierce & Agnew LLC

• Specialist in Paris, TX
• Providers in Paris, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.