Organization Active NPI

Gastroenterology & Nutritional Medical Services

  • Specialist
  • Bastrop, LA
National Provider Identifier
1427018852
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GASTROENTEROLOGY & NUTRITIONAL MEDICAL SERVICES
Practice address
616 S Washington St
Bastrop, LA 71220-5035
Phone
(318) 283-2177
Fax
(318) 283-2251
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bal Raj Bhandari, M.D.
Title
President
Phone
(318) 233-2177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

616 S Washington St
Bastrop, LA 71220-5035

Mailing address

616 S Washington St
Bastrop, LA 71220-5035
Phone (318) 283-2177

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0907751Gastroenterology & Nutritional Medical616 South Washington Street, Bastrop, LA 71220Certificate of waiverOct 19, 2027

National Provider Directory

National Provider Directory

Locations

3424 Medical Park Dr
#6
Monroe, LA 71203
Phone (318) 329-2171

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427018852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 S WASHINGTON ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712205035",
            "telephone_number": "318-283-2177",
            "fax_number": "318-283-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 S WASHINGTON ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712205035",
            "telephone_number": "318-283-2177",
            "fax_number": "318-283-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY & NUTRITIONAL MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BHANDARI",
        "authorized_official_first_name": "BAL",
        "authorized_official_middle_name": "RAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-233-2177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.