Organization Active NPI

Dr Jasjot Bhullar, LLC

  • Specialist
  • Spartanburg, SC
National Provider Identifier
1811617111
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DR JASJOT BHULLAR, LLC
Practice address
1650 Skylyn Dr Ste 370
Spartanburg, SC 29307-1047
Phone
(864) 764-4455
NPI assigned
Aug 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Authorized official

Name
Jasjot Kaur Bhullar, MD, FAHA
Title
Ceo
Phone
(207) 689-7007

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

1650 Skylyn Dr Ste 370
Spartanburg, SC 29307-1047

Mailing address

841 Oakcrest Rd
Spartanburg, SC 29301-5337
Phone (864) 381-7006

National Provider Directory

National Provider Directory

Locations

36 Parkway Commons Way
Greer, SC 29650
Phone (864) 381-7006

1650 Skylyn Dr
Ste 370
Spartanburg, SC 29307
Phone (864) 764-4455

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1811617111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 OAKCREST RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015337",
            "telephone_number": "864-381-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SKYLYN DR STE 370",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071047",
            "telephone_number": "864-764-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JASJOT BHULLAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "BHULLAR",
        "authorized_official_first_name": "JASJOT",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-689-7007",
        "authorized_official_credential": "MD, FAHA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.