Organization Active NPI

Sudhir Bansal, MD Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Warwick, RI
National Provider Identifier
1932424645
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
RI7603 Issued in RI
Legal business name
SUDHIR BANSAL, MD INC.
Practice address
215 Toll Gate Rd
Suite 309/310
Warwick, RI 02886-4458
Phone
(401) 732-6828
Fax
(401) 223-3040
NPI assigned
Apr 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Doreen M Morency
Title
Office Manager
Phone
(401) 732-6828

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X RI6157 RI
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X RI7603 RI Primary

Addresses

Primary practice location

215 Toll Gate Rd
Suite 309/310
Warwick, RI 02886-4458

Mailing address

215 Toll Gate Rd
Suite 309/310
Warwick, RI 02886-4458
Phone (401) 732-6828

National Provider Directory

National Provider Directory

Locations

215 Toll Gate Rd
Ste 309310
Warwick, RI 02886
Phone (401) 287-7746

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1932424645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 TOLL GATE RD",
            "address_2": "SUITE 309/310",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864458",
            "telephone_number": "401-732-6828",
            "fax_number": "401-223-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 TOLL GATE RD",
            "address_2": "SUITE 309/310",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864458",
            "telephone_number": "401-732-6828",
            "fax_number": "401-223-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDHIR BANSAL, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "MORENCY",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-732-6828"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "RI6157",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "RI",
            "license": "RI7603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.