Vimla Praveni Bhagwandin, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

28261 Issued in AL

Practice address

6908 Providence Park Dr S
Mobile, AL 36695-4600

Phone

(251) 660-3490

Fax

(251) 660-3491

NPI assigned

Nov 6, 2007

Last updated

Oct 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vimla.bhagwandin.1@27270.direct.athenahealth.com
• Direct secure messaging: vimla.bhagwandin.1@9582.direct.athenahealth.com

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.

• Alabama Providence Healthcare Services

  dba Providence Medical Group

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1245669514
  Medicare reassignment NPD
• Altapointe Health Systems, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mobile, AL
  • NPI 1518095413
  Medicare reassignment NPD
• Alabama Providence Healthcare Services

  dba Ascension Providence Diabetes Management Program

  • Endocrinology, Diabetes & Metabolism Physician
  • Mobile, AL
  • NPI 1609446087
  NPD
• Altapointe Health Systems Inc

  dba EastPointe Hospital

  • Psychiatric Hospital
  • Daphne, AL
  • NPI 1093010936
  NPD
• Altapointe Health Systems, Inc.

  dba Accordia Health- South Baldwin

  • Federally Qualified Health Center (FQHC)
  • Foley, AL
  • NPI 1003707332
  NPD

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538784000000",
    "number": "1467632521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6908 PROVIDENCE PARK DR S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954600",
            "telephone_number": "251-660-3490",
            "fax_number": "251-660-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6908 PROVIDENCE PARK DR S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954600",
            "telephone_number": "251-660-3490",
            "fax_number": "251-660-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAGWANDIN",
        "first_name": "VIMLA",
        "middle_name": "PRAVENI",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2018-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "28261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF ALABAMA",
            "identifier": "515-45281",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "631500075",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PECOS",
            "identifier": "510I37000",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas C Beville, DMD
• Jacqueline Renee Beville
• Lindsey C Beville, PA
• Sandeep Vidyadhar Bhadkamkar, MD
• Sanjyot Bhadkamkar, CRNP
• Shivani Bhakta
• Prabha Bhandari, MD
• Jessica Kaur Bhathal, M.D.
• BHG Lxxii, LLC (BHG Medical Services - Mobile)
• BHG Lxxii, LLC (BHG Medical Services-Mobile)

• Pediatrics Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2018; 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.