Ganesh Bissram, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

24890 Issued in NC

Practice address

130 Cardinal Dr
Roanoke Rapids, NC 27870-4946

Phone

(252) 535-3091

Fax

(252) 535-3092

NPI assigned

Sep 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1508960246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CARDINAL DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704946",
            "telephone_number": "252-535-3091",
            "fax_number": "252-535-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CARDINAL DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704946",
            "telephone_number": "252-535-3091",
            "fax_number": "252-535-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSRAM",
        "first_name": "GANESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "24890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8915630",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danilo R Bernardo, MD
• Lewis Edel Bertus, PA-C
• Anishwar Rohanlal Bhagwandass, DMD
• Sheila Bhagwandass, MD
• Bio-Medical Applications of North Carolina, Inc.
• Gary F Bjarnason
• Shafia Lanelle Bowser
• Catherine Jessica Boyer, LCSW
• Thereasa Marie Bradley-Bullock, MPA
• Joseph Bradley

• Orthopaedic Surgery Physician in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.