Active NPI
Bhupinder Brar
- Psychiatry Physician
- Elmira, NY
National Provider Identifier
1831383066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 243276
- Practice address
- 555 Saint Josephs Blvd
Elmira, NY 14901-3223 - Phone
- (607) 737-7002
- Fax
- (607) 737-1529
- NPI assigned
- Aug 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 243276 | NY | Primary |
Addresses
Primary practice location
555 Saint Josephs Blvd
Elmira, NY 14901-3223
Mailing address
571 Saint Josephs Blvd FL 2
Elmira, NY 14901-3230
Phone (607) 271-2050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 243276 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243276 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465344000000",
"number": "1831383066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 SAINT JOSEPHS BLVD FL 2",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013230",
"telephone_number": "607-271-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 SAINT JOSEPHS BLVD",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013223",
"telephone_number": "607-737-7002",
"fax_number": "607-737-1529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAR",
"first_name": "BHUPINDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-30",
"last_updated": "2016-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "243276",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "243276",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.