Bangura Medical Services,PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01045193A Issued in IN

Legal business name

BANGURA MEDICAL SERVICES,PC

Practice address

5 Executive Dr Ste G
Lafayette, IN 47905-4867

Phone

(765) 448-4646

Fax

(765) 448-4791

NPI assigned

Aug 4, 2006

Last updated

Dec 11, 2012By 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

Luella Bangura, MDNPI 1720094584

Title

President/Owner

Phone

(765) 447-7941

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Luella Bangura, MD

  • Internal Medicine Physician
  • Lafayette, IN
  • NPI 1720094584
  NPD (past) Authorized official
• Dianne Freeman-Moore, NP

  • Women's Health Nurse Practitioner
  • Lafayette, IN
  • NPI 1376741462
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1902814049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 S BROOKFIELD DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479057658",
            "telephone_number": "765-447-7941",
            "fax_number": "765-447-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EXECUTIVE DR STE G",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054867",
            "telephone_number": "765-448-4646",
            "fax_number": "765-448-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANGURA MEDICAL SERVICES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "BANGURA",
        "authorized_official_first_name": "LUELLA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "765-447-7941",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01045193A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200421310A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodney L Ball, LCSW
• Hannah Banes, RBT
• Siddharth Bangar, M.D.
• Christopher P Bangert, RPH
• Roger Guy Bangs, MD
• Luella Bangura, MD
• Dennis Banter
• Brida Ann Barba, OTR
• Henry Barcino, M.D.
• Anne Barnard, LMHCA

• Internal Medicine Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.