Divya Bansal, D.O.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

L.4102R Issued in AL

Practice address

4371 Narrow Lane Rd Ste 100
Montgomery, AL 36116-2975

Phone

(334) 613-3680

Fax

(334) 613-3685

NPI assigned

Feb 26, 2015

Last updated

Feb 26, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Afc Physicians of Georgia Primary Care, PC

  • Primary Care Clinic/Center
  • Fort Oglethorpe, GA
  • NPI 1780062380
  Medicare reassignment NPD
• Afc Physicians of Georgia Primary Care, PC

  • Primary Care Clinic/Center
  • Fort Oglethorpe, GA
  • NPI 1083005565
  NPD
• Afc Physicians of Georgia, PC

  • Urgent Care Clinic/Center
  • Sandy Springs, GA
  • NPI 1053662189
  NPD (past)

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1619369774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 NARROW LANE RD STE 100",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162975",
            "telephone_number": "334-613-3680",
            "fax_number": "334-613-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 NARROW LANE RD STE 100",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162975",
            "telephone_number": "334-613-3680",
            "fax_number": "334-613-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "DIVYA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": "L.4102R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mekayla Banks
• Sy Banks, DPT
• Taylor Andrew Banks, D.M.D
• Johnny Bannister, O.D.
• Apurva Bansal, M.D.
• Baptist Health Systems
• Baptist South Ed Observation Unit PC
• Baptist Ventures-Ahp Homecare Alliance of Montgomery (American HomePatient)
• Bar-Vic Medical Holdings, LLC
• Michael Nicholas Barbaree, D.O

• Student in an Organized Health Care Education/Training Program in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Student in an Organized Health Care Education/Training Program in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.