Organization Active NPI

Ravinder S. Bhagrath M.D. PSC

  • Medical Specialty Clinic/Center
  • Pikeville, KY
National Provider Identifier
1770734956
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
RAVINDER S. BHAGRATH M.D. PSC
Practice address
255 Church St
Suite 203
Pikeville, KY 41501-3476
Phone
(606) 432-9456
Fax
(606) 432-2140
NPI assigned
Oct 6, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ravinder Singh Bhagrath, M.D.
Title
Owner
Phone
(606) 432-9456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X KY Primary

Addresses

Primary practice location

255 Church St
Suite 203
Pikeville, KY 41501-3476

Mailing address

255 Church St
Suite 203
Pikeville, KY 41501-3476
Phone (606) 432-9456

Other identifiers 1

IdentifierTypeStateIssuer
64030091MedicaidKY

National Provider Directory

National Provider Directory

Locations

9738 Ky Rte 122
MC Dowell, KY 41647

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770734956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 CHURCH ST",
            "address_2": "SUITE 203",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013476",
            "telephone_number": "606-432-9456",
            "fax_number": "606-432-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 CHURCH ST",
            "address_2": "SUITE 203",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013476",
            "telephone_number": "606-432-9456",
            "fax_number": "606-432-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVINDER S. BHAGRATH M.D. PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BHAGRATH",
        "authorized_official_first_name": "RAVINDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-432-9456",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64030091",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.