G. S. Bindra, M.D., PLLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

G. S. BINDRA, M.D., PLLC

Practice address

315 E Tickle St Ste a
Dyersburg, TN 38024-3117

Phone

(731) 286-0149

Fax

(731) 334-5041

NPI assigned

May 8, 2009

Last updated

Apr 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ravi Bindra

Title

Office Manager

Phone

(731) 286-0149

Specialties & licenses 2

Addresses

Other identifiers 4

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2830/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1750515532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 OAK RIDGE RD",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380240701",
            "telephone_number": "731-286-0149",
            "fax_number": "731-334-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E TICKLE ST STE A",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243117",
            "telephone_number": "731-286-0149",
            "fax_number": "731-334-5041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1716 Parr Ave",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Dyersburg",
            "state": "TN",
            "postal_code": "380242074",
            "country_code": "US",
            "telephone_number": "731-286-0149",
            "fax_number": "731-286-6956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "G. S. BINDRA, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "BINDRA",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "731-286-0149"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "21989",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1093716490",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3064931",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1750515532",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q002829",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Julia Frye, NP
• Ashley Michelle Fuller, PHARM.D.
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• Amanda Gammons, PHARMD
• Jessica Marie Gardner, FNP
• Brooke Lacy Garner
• Bradley Edward Gatlin

• Otolaryngology Physician in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Otolaryngology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.