Individual provider Active NPI

Bhupendra Vrajlal Dudhia, M.D

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1588690788
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
138941 Issued in NY
Practice address
1110 Eastern Pkwy
Brooklyn, NY 11213-4845
Phone
(718) 735-1900
Fax
(718) 735-4531
NPI assigned
Jun 23, 2006
Last updated
Jan 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 138941 NY Primary

Addresses

Primary practice location

1110 Eastern Pkwy
Brooklyn, NY 11213-4845

Mailing address

PO Box 26246
New York, NY 10087-6246
Phone (718) 604-5574

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph T. Bumatay, M.D., P.C. Past Accepting new patients
CMC Housestaff Past Accepting new patients
Hillside Polymedic P.C. Gastroenterology PastSince Jul 15, 2014 Accepting new patients
Care 4 U Medical PC Past Accepting new patients

Organizations & group practices 4

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1588690788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26246",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100876246",
            "telephone_number": "718-604-5574",
            "fax_number": "718-604-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134845",
            "telephone_number": "718-735-1900",
            "fax_number": "718-735-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDHIA",
        "first_name": "BHUPENDRA",
        "middle_name": "VRAJLAL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "138941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.