Organization Active NPI

Bhupendra P Patel MD PA

  • Internal Medicine Physician
  • Deland, FL
National Provider Identifier
1801161682
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BHUPENDRA P PATEL MD PA
Practice address
925 N Stone St
Deland, FL 32720-2521
Phone
(386) 734-6007
Fax
(386) 734-6008
NPI assigned
Mar 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Mrs. Laura Lynn Batten
Title
Office Manager
Phone
(386) 734-6007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

925 N Stone St
Deland, FL 32720-2521

Mailing address

925 N Stone St
Deland, FL 32720-2521
Phone (386) 734-6007

Other identifiers 1

IdentifierTypeStateIssuer
039859400MedicaidFL

National Provider Directory

National Provider Directory

Locations

925 N Stone St
Deland, FL 32720
Phone (386) 734-6007

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1801161682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N STONE ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202521",
            "telephone_number": "386-734-6007",
            "fax_number": "386-734-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N STONE ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202521",
            "telephone_number": "386-734-6007",
            "fax_number": "386-734-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHUPENDRA P PATEL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "BATTEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "386-734-6007",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039859400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.