Individual provider Active NPI

Bhavna Lalvani

  • Family Medicine Physician
  • Jbsa Lackland, TX
National Provider Identifier
1902184708
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S7482 Issued in TX
Practice address
1100 Wilford Hall Loop BLDG 4554
Jbsa Lackland, TX 78236-5638
Phone
(210) 292-2003
NPI assigned
Jul 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036.133826 IL
Family Medicine Physician 207Q00000X 125.060356 IL
Family Medicine Physician 207Q00000X 272981 MA
Family Medicine Physician 207Q00000X S7482 TX Primary

Addresses

Primary practice location

1100 Wilford Hall Loop BLDG 4554
Jbsa Lackland, TX 78236-5638

Mailing address

1100 Wilford Hall Loop BLDG 4554
Jbsa Lackland, TX 78236-5638
Phone (210) 292-2003

Other practice location 1

8590 Saint Lukes Dr
Beardstown, IL 62618-8398
Phone (217) 323-2242

Other practice location 2

1210 Providence Hwy Ste E
Norwood, MA 02062-5063
Phone (781) 255-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180808000433 MA Practitioner - Family Practice 6709025687 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.133826ILMDFamily Medicine Physician
125.060356ILMDFamily Medicine Physician
272981MAMDFamily Medicine Physician
S7482TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woonsocket Urgent Care PC CurrentSince May 4, 2018 Accepting new patients
Woonsocket Urgent Care, PC CurrentSince May 4, 2018 Accepting new patients
Cass County Public Health Dept Past Accepting new patients
Cass County Public Health Dept Past Accepting new patients

Locations

103 Providence Hwy
East Walpole, MA 02032
Phone (781) 255-0500

1210 Boston Providence Tpke
Norwood, MA 02062
Phone (781) 255-0500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1902184708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP BLDG 4554",
            "city": "JBSA LACKLAND",
            "state": "TX",
            "postal_code": "782365638",
            "telephone_number": "210-292-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP BLDG 4554",
            "city": "JBSA LACKLAND",
            "state": "TX",
            "postal_code": "782365638",
            "telephone_number": "210-292-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8590 Saint Lukes Dr",
            "address_purpose": "LOCATION",
            "city": "Beardstown",
            "state": "IL",
            "postal_code": "626188398",
            "country_code": "US",
            "telephone_number": "217-323-2242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 Providence Hwy Ste E",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MA",
            "postal_code": "020625063",
            "country_code": "US",
            "telephone_number": "781-255-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LALVANI",
        "first_name": "BHAVNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-27",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.133826",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.060356",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "272981",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S7482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbsa Lackland, TX

Sources for this page

Verify at the official NPI Registry.