Bhasker Medical Clinic PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BHASKER MEDICAL CLINIC PC

Practice address

200 Neel Ave
Socorro, NM 87801-4649

Phone

(575) 835-2940

Fax

(575) 835-2216

NPI assigned

Sep 28, 2006

Last updated

Sep 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Addy Bhasker

Title

Administrator

Phone

(575) 835-2940

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ravi Bhasker, MD

  • Family Medicine Physician
  • Socorro, NM
  • NPI 1326146259
  Medicare reassignment NPD
• Vincent Muller, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Socorro, NM
  • NPI 1053412692
  Medicare reassignment
• Valerie Young, MD

  • Pediatric Adolescent Medicine Physician
  • Albuquerque, NM
  • NPI 1023114170
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1821189101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEEL AVE",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014649",
            "telephone_number": "575-835-2940",
            "fax_number": "575-835-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NEEL AVE",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014649",
            "telephone_number": "575-835-2940",
            "fax_number": "575-835-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHASKER MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "BHASKER",
        "authorized_official_first_name": "ADDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "575-835-2940"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44073",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREJB",
            "identifier": "201051377",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessie B Batchelor, AU.D.
• Duane H Beers, DMD, FAGD, AAACD
• Cirk Russell Bejnar, CNA
• Darla H Bejnar, MD
• Lindsey Benjamin
• Ravi Bhasker, MD
• Bird and Compass Therapy LLC
• William Brewster Bird
• Body Wise Therapy Services LLC
• Laurie Borden, LPCC

• Family Medicine Physician in Socorro, NM
• Providers in Socorro, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.