Organization Active NPI

Buford Pediatrics,LLC

  • Primary Care Clinic/Center
  • Buford, GA
National Provider Identifier
1740550896
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
044838 Issued in GA
Legal business name
BUFORD PEDIATRICS,LLC
Practice address
3700 Ridge Rd
Suite'B'
Buford, GA 30519-4035
Phone
(678) 804-9398
Fax
(678) 804-9415
NPI assigned
Jan 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Dr. Nirmala Bharadwaj, MDNPI 1245214667
Title
Pediatrician, Owner
Phone
(678) 804-9398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 044838 GA Primary

Addresses

Primary practice location

3700 Ridge Rd
Suite'B'
Buford, GA 30519-4035

Mailing address

PO Box 699
Buford, GA 30515-0699
Phone (678) 804-9398

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2028518Buford Pediatrics, LLC3700 Ridge Road, Suite B, Buford, GA 30519Certificate of waiverAug 17, 2027

National Provider Directory

National Provider Directory

Locations

3700 Ridge Rd
Buford, GA 30519
Phone (678) 804-9398

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1740550896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305150699",
            "telephone_number": "678-804-9398",
            "fax_number": "678-804-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 RIDGE RD",
            "address_2": "SUITE'B'",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194035",
            "telephone_number": "678-804-9398",
            "fax_number": "678-804-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFORD PEDIATRICS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "BHARADWAJ",
        "authorized_official_first_name": "NIRMALA",
        "authorized_official_title_or_position": "PEDIATRICIAN, OWNER",
        "authorized_official_telephone_number": "678-804-9398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "044838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.