NPIMap

Individual provider Active NPI

Vipulkumar R Brahmbhatt, MD

  • Clinical Cardiac Electrophysiology Physician
  • Johnson City, TN
National Provider Identifier
1679559165
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
51930 Issued in WI
Practice address
310 N State of Franklin Rd Ste 400
Johnson City, TN 37604-6051
Phone
(423) 979-6000
Fax
(423) 979-6011
NPI assigned
Dec 16, 2005
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 039886 TN
Clinical Cardiac Electrophysiology Physician 207RC0001X 51930 WI Primary

Addresses

Primary practice location

310 N State of Franklin Rd Ste 400
Johnson City, TN 37604-6051

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

975 Port Washington Rd
Grafton, WI 53024-9201
Phone (262) 329-1000

Other practice location 2

1497 W Elk Ave Ste 22A
Elizabethton, TN 37643-2896
Phone (423) 547-3380

Other practice location 3

378 Marketplace Blvd Ste 5
Johnson City, TN 37604-2361
Phone (423) 282-0751

Other identifiers 8

IdentifierTypeStateIssuer
0007697614OtherAETNA
3333835MedicaidTN
64112550MedicaidKY
7696872OtherCIGNA
100134513MedicaidWI
1679559165MedicaidVA
5912618MedicaidNC
4232015OtherTNBLUE CROSS BLUE SHIELD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address vbrahmbhatt289905@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA, IN, TX, MT, CT, AR, SC8 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20050912001173 TN Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6507899416 Reassigns benefits to 3 organizations
I20051004001009 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6507899416 Reassigns benefits to 1 organization
I20260116003532 IN Practitioner - Cardiac Electrophysiology 6507899416 Reassigns benefits to 1 organization
I20260130003202 TX Practitioner - Cardiac Electrophysiology 6507899416 Reassigns benefits to 1 organization
I20260210000963 MT Practitioner - Cardiac Electrophysiology 6507899416 Reassigns benefits to 1 organization
I20260306002448 CT Practitioner - Cardiovascular Disease (Cardiology) 6507899416 Reassigns benefits to 1 organization
I20260421001990 AR Practitioner - Internal Medicine 6507899416 Reassigns benefits to 1 organization
I20260520004695 SC Practitioner - Cardiovascular Disease (Cardiology) 6507899416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karing Hearts Cardiology PCGroup PAC ID 9436567252, 14 clinicians

Practice addresses (Care Compare)

701 N State of Franklin Rd
Suite 2
Johnson City, TN 37604-3645
Phone (423) 926-4468

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039886TNMDCardiovascular Disease Physician
51930WIMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC Cardiovascular Disease CurrentSince Jan 9, 2026 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Karing Hearts Cardiology Heart and Vascular Center Cardiovascular Disease CurrentSince Jan 19, 2025 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jun 30, 2022 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Jun 30, 2022 Accepting new patients
Karing Hearts Cardiology PC Cardiovascular Disease CurrentSince Jan 1, 2024 Accepting new patients
Wellmont Medical Associates, Inc. PastSince Jun 30, 2022 Accepting new patients
Inpatient Medical Services, PC Past Accepting new patients
Solstas Lab Partners Group LLC Past Accepting new patients
Inpatient Consultants of Tennessee, P.C. Past Accepting new patients
Karing Hearts Cardiology, PLLC Cardiovascular Disease Past Accepting new patients
Bristol Consultants PC PastSince May 24, 2005 Accepting new patients
Blue Ridge Medical Management Corporation Cardiovascular Disease Past Accepting new patients

Locations

1 Medical Park Blvd
Ste 350W
Bristol, TN 37620
Phone (423) 844-4240

1503 W Elk Ave
Ste 8
Elizabethton, TN 37643
Phone (423) 542-0400

627 N Main Ave
Erwin, TN 37650
Phone (423) 735-3405

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

701 N State of Franklin Rd
Ste 2
Johnson City, TN 37604
Phone (423) 477-0600

701 N State of Franklin Rd
Ste 9
Johnson City, TN 37604
Phone (423) 207-4290

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1679559165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N STATE OF FRANKLIN RD STE 400",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046051",
            "telephone_number": "423-979-6000",
            "fax_number": "423-979-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Port Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Grafton",
            "state": "WI",
            "postal_code": "530249201",
            "country_code": "US",
            "telephone_number": "262-329-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1497 W Elk Ave Ste 22A",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376432896",
            "country_code": "US",
            "telephone_number": "423-547-3380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "378 Marketplace Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042361",
            "country_code": "US",
            "telephone_number": "423-282-0751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAHMBHATT",
        "first_name": "VIPULKUMAR",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "039886",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "WI",
            "license": "51930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007697614",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3333835",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64112550",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7696872",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100134513",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679559165",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5912618",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4232015",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vbrahmbhatt289905@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "975 Port Washington Rd",
            "city": "Grafton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530249201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "975 Port Washington Rd",
            "city": "Grafton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530249201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.