BK Surgical Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BK SURGICAL INC

Doing business as

BK Surgical Inc

Practice address

41870 Garstin Drive
Big Bear Lake, CA 92315-1649

Phone

(913) 209-4619

NPI assigned

Oct 8, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Bhani Kaur Chawla Kondal, MD

Title

Ceo

Phone

(913) 209-4619

Specialties & licenses 3

Addresses

Other names 1

• BK SURGICAL INC Doing business as

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1609417930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 KODIAK MOUNTAIN DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928874258",
            "telephone_number": "913-209-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41870 GARSTIN DRIVE",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923151649",
            "telephone_number": "913-209-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BK SURGICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "CHAWLA KONDAL",
        "authorized_official_first_name": "BHANI",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-209-4619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BK SURGICAL INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BK SURGICAL INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgery Physician in Big Bear Lake, CA
• Providers in Big Bear Lake, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.