Organization Active NPI

Bhowmik Medical Practice

  • Internal Medicine Physician
  • Portsmouth, VA
National Provider Identifier
1609055722
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101053028 Issued in VA
Legal business name
BHOWMIK MEDICAL PRACTICE
Practice address
301 Goode Way
Suite 103
Portsmouth, VA 23704-2266
Phone
(757) 399-0701
Fax
(757) 399-3731
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Dr. Nihar R Bhowmik, MD
Title
Proprietor
Phone
(757) 399-0701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101053028 VA Primary

Addresses

Primary practice location

301 Goode Way
Suite 103
Portsmouth, VA 23704-2266

Mailing address

301 Goode Way
Suite 103
Portsmouth, VA 23704-2266
Phone (757) 399-0701

Other identifiers 2

IdentifierTypeStateIssuer
22827OtherBCBS
C05686OtherMEDICARE PROVIDER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1609055722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GOODE WAY",
            "address_2": "SUITE 103",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042266",
            "telephone_number": "757-399-0701",
            "fax_number": "757-399-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GOODE WAY",
            "address_2": "SUITE 103",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042266",
            "telephone_number": "757-399-0701",
            "fax_number": "757-399-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHOWMIK MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "BHOWMIK",
        "authorized_official_first_name": "NIHAR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "757-399-0701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101053028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "22827",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "C05686",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.