Active NPI
Bharat Das Agarwal, M.D.
- Adult Medicine Physician
- Charleston, WV
National Provider Identifier
1588077366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 11261
- Practice address
- 1623 Greystone Rd
Charleston, WV 25314-2211 - Phone
- (304) 545-6102
- NPI assigned
- Jun 9, 2014
- Last updated
- Jun 9, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 11261 | WV | Primary |
Addresses
Primary practice location
1623 Greystone Rd
Charleston, WV 25314-2211
Mailing address
1623 Greystone Rd
Charleston, WV 25314-2211
Phone (304) 545-6102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11261 | WV | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402272000000",
"number": "1588077366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1623 GREYSTONE RD",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253142211",
"telephone_number": "304-545-6102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1623 GREYSTONE RD",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253142211",
"telephone_number": "304-545-6102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGARWAL",
"first_name": "BHARAT",
"middle_name": "DAS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-09",
"last_updated": "2014-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "WV",
"license": "11261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
- Affect Provider Group P.S.C. (Affect)
- Affect Therapeutics, Inc.
- Affordable Dentures & Implants of West Virginia, PLLC (Affordable Dentures & Implants - South Charleston)
- Muhammad Afzal, MD
- Jacky Agalla
- Brandon Agnew
- Destinee Agnew
- Neha Agrawal, MD
- Barbara Josephine Aguilar, LPN
- Maram Mahmoud Ahmed, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.