Individual provider Active NPI

Ravinderjit S Brar, M.D.

  • Internal Medicine Physician
  • Alexandria, LA
National Provider Identifier
1568426807
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11856R Issued in LA
Practice address
3425 North Blvd
Ste a
Alexandria, LA 71301-3608
Phone
(318) 473-1921
Fax
(318) 473-1922
NPI assigned
Apr 13, 2006
Last updated
Jul 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11856R LA Primary

Addresses

Primary practice location

3425 North Blvd
Ste a
Alexandria, LA 71301-3608

Mailing address

3425 North Blvd
Ste a
Alexandria, LA 71301-3608
Phone (318) 473-1921

Other identifiers 1

IdentifierTypeStateIssuer
1688126MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220920001453 TX Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3375431794

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11856RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rapides Regional Physician Group Specialty Care, LLC PastSince Oct 12, 2019 Accepting new patients
Correct Care, Inc. Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
Hospital Service District No. 2 Past Accepting new patients

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1568426807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 NORTH BLVD",
            "address_2": "STE A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013608",
            "telephone_number": "318-473-1921",
            "fax_number": "318-473-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 NORTH BLVD",
            "address_2": "STE A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013608",
            "telephone_number": "318-473-1921",
            "fax_number": "318-473-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAR",
        "first_name": "RAVINDERJIT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "11856R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1688126",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.