Active NPI
Dr Jasjot Bhullar, LLC
- Specialist
- Spartanburg, SC
National Provider Identifier
1811617111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryLocations
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.