Active NPI
Ravinder S. Bhagrath M.D. PSC
- Medical Specialty Clinic/Center
- Pikeville, KY
National Provider Identifier
1770734956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64030091 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
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.