Individual provider Active NPI

Sunil Bhole, MD

  • Physical Medicine & Rehabilitation Physician
  • Duluth, GA
National Provider Identifier
1639231350
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
024513 Issued in GA
Practice address
3215 McClure Bridge Rd
Duluth, GA 30096-3223
Phone
(678) 584-6786
Fax
(678) 584-6719
NPI assigned
Dec 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 024513 GA Primary

Addresses

Primary practice location

3215 McClure Bridge Rd
Duluth, GA 30096-3223

Mailing address

8953 Old Southwick Pass
Alpharetta, GA 30022-7140
Phone (770) 664-7379

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040325000878 GA Practitioner - Physical Medicine and Rehabilitation 0840181343 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
024513GAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Rehabilitation Consultants PC Physical Medicine & Rehabilitation CurrentSince Jan 1, 2002 Accepting new patients

Locations

3215 McClure Bridge Rd
Duluth, GA 30096
Phone (678) 312-6000

3000 Old Alabama Rd
Ste 119
Johns Creek, GA 30022
Phone (470) 366-3386

Organizations & group practices 1

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": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639231350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8953 OLD SOUTHWICK PASS",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300227140",
            "telephone_number": "770-664-7379",
            "fax_number": "770-558-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 MCCLURE BRIDGE RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963223",
            "telephone_number": "678-584-6786",
            "fax_number": "678-584-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHOLE",
        "first_name": "SUNIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "024513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.