Individual provider Active NPI

Mohammed Badiul Alam Bhuiyan, MD., MPH.

  • Spinal Cord Injury Medicine Physician
  • Richmond, VA
National Provider Identifier
1720293285
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Spinal Cord Injury Medicine PhysicianTaxonomy code 2081P0004X
License
0101238424 Issued in VA
Practice address
1201 Broad Rock Blvd # D
Richmond, VA 23249-1553
Phone
(804) 675-5455
Fax
(804) 675-5223
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101238424 VA
Spinal Cord Injury Medicine Physician 2081P0004X 0101238424 VA Primary

Addresses

Primary practice location

1201 Broad Rock Blvd # D
Richmond, VA 23249-1553

Mailing address

1201 Broad Rock Blvd # D
Richmond, VA 23249-1553
Phone (804) 675-5455

Other identifiers 1

IdentifierTypeStateIssuer
1720293285MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110606000200 VA Order and Referring Only - Family PracticePractitioner - Family Practice 1759452220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101238424VAMDSpinal Cord Injury Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heaven Sent by Home Town Health Care, LTD Past Accepting new patients
John Randolph Family Practice LLC Family Medicine Past Accepting new patients
Quick Care Center LLC Family Medicine Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1720293285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD # D",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232491553",
            "telephone_number": "804-675-5455",
            "fax_number": "048-675-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD # D",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232491553",
            "telephone_number": "804-675-5455",
            "fax_number": "804-675-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHUIYAN",
        "first_name": "MOHAMMED",
        "middle_name": "BADIUL ALAM",
        "name_prefix": "Dr.",
        "credential": "MD., MPH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101238424",
            "primary": false
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "VA",
            "license": "0101238424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720293285",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.