Active NPI
Gurpreet Singh Bambra, M.D.
- Pulmonary Disease Physician
- Carbondale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036.134435
- Practice address
- 305 W Jackson St
Suite 301
Carbondale, IL 62901-1474 - Phone
- (618) 529-0520
- Fax
- (618) 529-0519
- NPI assigned
- Sep 4, 2008
- Last updated
- Aug 4, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 036.134435 | IL | Primary |
Addresses
Primary practice location
305 W Jackson St
Suite 301
Carbondale, IL 62901-1474
Mailing address
PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 457-5200
Other practice location 1
315 S 13th St Ste 2
Herrin, IL 62948-3666
Phone (618) 942-5883
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gbambra13373@sih.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Dr Warren Tuttle Dr
Harrisburg, IL 62946-2718
Phone (618) 253-0333
12044 Shady Knoll Dr
Fishers, IN 46037-8321
Phone (618) 529-0520
2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156
201 S 14TH St
Herrin, IL 62948-3631
Phone (618) 942-2171
2601 W Main St
Carbondale, IL 62901-1031
Phone (618) 549-5361
305 W Jackson St
Carbondale, IL 62901-1474
405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721
50 Dr Warren Tuttle Dr
Harrisburg, IL 62946-2718
Phone (618) 253-0169
Hospital & facility affiliations
- Memorial Hospital of Carbondale
- Herrin Hospital
- Harrisburg Medical Center
- St Joseph Memorial Hospital
- Marshall Browning Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 55.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.134435 | IL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Illinois Medical Services, NFP | Current | Accepting new patients |
Locations
1239 E Main St
Carbondale, IL 62901
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
305 W Jackson St
Ste 301
Carbondale, IL 62901
Phone (618) 529-0520
315 S 13th St
Ste 2
Herrin, IL 62948
Phone (618) 942-5883
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.
-
dba SIH Medical Group
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
IN
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrisburg, IL
- NPI 1073580130
-
- Critical Access Hospital
- Du Quoin, IL
- NPI 1821099441
-
dba Memorial Hospital of Carbondale
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
-
dba St. Joseph Memorial Hospital
- Critical Access Hospital
- Murphysboro, IL
- NPI 1356435135
-
dba Herrin Hospital
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1649428475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3988",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629023988",
"telephone_number": "618-457-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 W JACKSON ST",
"address_2": "SUITE 301",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629011474",
"telephone_number": "618-529-0520",
"fax_number": "618-529-0519"
}
],
"practiceLocations": [
{
"address_1": "315 S 13th St Ste 2",
"address_purpose": "LOCATION",
"city": "Herrin",
"state": "IL",
"postal_code": "629483666",
"country_code": "US",
"telephone_number": "618-942-5883",
"fax_number": "618-351-4853",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAMBRA",
"first_name": "GURPREET",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-04",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036.134435",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gbambra13373@sih.direct-ci.com",
"affiliation": "N",
"address_1": "305 W Jackson St",
"address_2": "Suite 301",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629011474",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.