Individual provider Active NPI

Bhagwan D Bang, M.D.

  • Pediatrics Physician
  • Opp, AL
National Provider Identifier
1487615084
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
00020322 Issued in AL
Practice address
101 E Paulk Ave
Suite a
Opp, AL 36467-1727
Phone
(334) 493-2400
Fax
(334) 493-3261
NPI assigned
Mar 31, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 00020322 AL Primary

Addresses

Primary practice location

101 E Paulk Ave
Suite a
Opp, AL 36467-1727

Mailing address

PO Box 509
Opp, AL 36467-0509
Phone (334) 493-2400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151029000205 AL Practitioner - Pediatric Medicine 4688983828 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00020322ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andalusia Physician Practices LLC CurrentSince Sep 1, 2015 Accepting new patients
Andalusia Physician Practices LLC Current Accepting new patients
Andalusia Physician Practices LLC CurrentSince Sep 1, 2015 Accepting new patients
Mizell Memorial Hospital, Inc. Past Accepting new patients
Community Hospital of Andalusia LLC Past Accepting new patients

Locations

301 Medical Ave
Ste A
Andalusia, AL 36420
Phone (334) 222-9100

301 Medical Ave
Ste C
Andalusia, AL 36420
Phone (334) 222-1211

Interoperability endpoints

  • Direct secure messaging: bhagwan_d_bang_-_md@yourcarecommunity.org
  • Direct secure messaging: bhagwan.bang@salapeds.direct.medconnect-inc.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487615084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364670509",
            "telephone_number": "334-493-2400",
            "fax_number": "334-493-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E PAULK AVE",
            "address_2": "SUITE A",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364671727",
            "telephone_number": "334-493-2400",
            "fax_number": "334-493-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANG",
        "first_name": "BHAGWAN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "00020322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opp, AL

Sources for this page

Verify at the official NPI Registry.