Westbrook Internal Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

50310 Issued in GA

Legal business name

WESTBROOK INTERNAL MEDICINE, LLC

Practice address

3950 Cobb Pkwy NW Ste 601
Acworth, GA 30101-9530

Phone

(770) 874-7623

Fax

(770) 874-7627

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bhawna Khanna, M.D.NPI 1184614380

Title

Managing Member

Phone

(770) 874-7623

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bhawna Khanna, MD

  • Internal Medicine Physician
  • Acworth, GA
  • NPI 1184614380
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1699888776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 COBB PKWY NW",
            "address_2": "SUITE 601",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301019532",
            "telephone_number": "770-874-7623",
            "fax_number": "770-874-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 COBB PKWY NW STE 601",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301019530",
            "telephone_number": "770-874-7623",
            "fax_number": "770-874-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTBROOK INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "BHAWNA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "770-874-7623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "50310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Denice Wheeler, CNA
• Linda Thompson Whidby, APC, NCC
• Lindsey Catherine White
• Wanakee White

• Internal Medicine Physician in Acworth, GA
• Providers in Acworth, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.