Aditya Avinash Bhagwat, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

0810003283 Issued in VA

Practice address

4881 Sugar Maple Dr
88MDG/Sgohc
Wright Patterson AFB, OH 45433-5546

Phone

(937) 257-6876

NPI assigned

Sep 27, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649266354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PHELPS CIR",
            "city": "WPAFB",
            "state": "OH",
            "postal_code": "454331324",
            "telephone_number": "937-252-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "address_2": "88MDG/SGOHC",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335546",
            "telephone_number": "937-257-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAGWAT",
        "first_name": "ADITYA",
        "middle_name": "AVINASH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "DC",
            "license": "PSY1000203",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810003283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Neale Bennett V, MD
• Brian T Bentley, DO
• Thomas Mark Bertagnoli, D.O.
• Kimberly Bertrand, PA-C
• John Robert Bettineschi Jr., DDS
• Melissa Ann Bizzarro, RD,LD
• Darryll W. Black, PA-C
• Peter Nolan Bonneau, MD
• Rodney Bosserman, IDMT
• Cheryl Bouschard, PT

• Clinical Neuropsychologist in Wright Patterson AFB, OH
• Providers in Wright Patterson AFB, OH by specialty
• Clinical Neuropsychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.