Bipin K Ghatalia, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D9798 Issued in TX

Practice address

103 W Lee St
Weatherford, TX 76086

Phone

(817) 594-9922

Fax

(817) 594-9923

NPI assigned

Nov 16, 2005

Last updated

Dec 10, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1669454526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W LEE ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "76086",
            "telephone_number": "817-594-9922",
            "fax_number": "817-594-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W LEE ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "76086",
            "telephone_number": "817-594-9922",
            "fax_number": "817-594-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHATALIA",
        "first_name": "BIPIN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D9798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092597601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGRP",
            "identifier": "10029715",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel Marie Gatten
• Susan Raedene Gauntt Walker, MD
• Generational Chiropractic
• Genoa Healthcare LLC
• Kimberly D German, MS, CCC-SLP
• Jana Lou Gibson
• Liana O Gibson, LMFT
• Stacey Gibson
• Haley K Gilbert, LPC
• Aaron Loy Gilbreath, DNP CRNA

• Family Medicine Physician in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.