Bharat Mahendra Brahmbhatt, M.D.
Individual provider Active NPI Family Medicine Physician · Goldsboro, NC
NPI 1780004879 · NPPES record last updated May 4, 2022
Key facts
- NPI
- 1780004879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2017-01746 (NC)
- Practice address
- 2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494 - Phone
- (704) 497-5137
- NPI assigned
- Apr 16, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Unc Physicians Network LLC
Practice addresses (Care Compare)
117 E Kings Hwy
Eden, NC 27288-5201
Phone (984) 215-4000
2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494
Phone (919) 587-4394
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123
Hospital & facility affiliations
- Unc Health Care Wayne
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171026002642 | NC | Practitioner - Family Practice |
1759672942 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N/A | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unc Physicians Network LLC | Family Medicine | Current | Accepting new patients |
| Unc Physicians Network LLC | Family Medicine | Current |
Accepting new patients |
Locations
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060
2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
Interoperability endpoints
- bbrahmbhatt301194@direct.unc.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2017-01746 | NC | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494
Mailing address
210 Wildfell TRL
Cary, NC 27513-5504
Phone (704) 497-5137
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bbrahmbhatt301194@direct.UNC.nchie.net | Direct |
Other providers in Goldsboro, NC
- Lillian Kizer Boyd
- Shelly Boyd
- Christopher D. Boyle
- Heather B Bradshaw
- Martha Ray Bradshaw
- Pamela Dawn Branson
- Amy G. E. Brantley
- Philip K Brantly
- Breath of Life, Inc.
- Anissa Sheree Breland
All providers in Goldsboro, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.