Organization Active NPI

Brian J Bhagat MD PC

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1609055375
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301076705 Issued in MI
Legal business name
BRIAN J BHAGAT MD PC
Practice address
G1071 N Ballenger Hwy
Suite 206
Flint, MI 48504-4453
Phone
(810) 234-1651
Fax
(810) 234-5959
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Mr. Bradley Eshbaugh
Title
Secretary
Phone
(810) 239-6731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301076705 MI Primary

Addresses

Primary practice location

G1071 N Ballenger Hwy
Suite 206
Flint, MI 48504-4453

Mailing address

G1071 N Ballenger Hwy
Suite 206
Flint, MI 48504-4453
Phone (810) 234-1651

Other identifiers 1

IdentifierTypeStateIssuer
4552998MedicaidMI

National Provider Directory

National Provider Directory

Locations

G1071 N Ballenger Hwy
Ste 206
Flint, MI 48504
Phone (810) 234-1651

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1609055375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G1071 N BALLENGER HWY",
            "address_2": "SUITE 206",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044453",
            "telephone_number": "810-234-1651",
            "fax_number": "810-234-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G1071 N BALLENGER HWY",
            "address_2": "SUITE 206",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044453",
            "telephone_number": "810-234-1651",
            "fax_number": "810-234-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN J BHAGAT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "ESHBAUGH",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "810-239-6731",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301076705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4552998",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.