Active NPI
Haryashpal Bhullar, D.O.
- Psychiatry Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OS19734
- Practice address
- 2191 E Johnson Ave
Pensacola, FL 32514-6029 - Phone
- (850) 494-3953
- Fax
- (850) 494-3950
- NPI assigned
- May 27, 2020
- Reactivated
- May 17, 2022
- 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 | OS19734 | FL | Primary |
Addresses
Primary practice location
2191 E Johnson Ave
Pensacola, FL 32514-6029
Mailing address
2191 E Johnson Ave
Pensacola, FL 32514-6029
Phone (850) 494-3953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2191 E Johnson Ave
Pensacola, FL 32514-6039
Phone (850) 494-3953
Hospital & facility affiliations
- HCA Florida West Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS19734 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Behavioral Health Inc | Current | Accepting new patients |
Locations
2191 E Johnson Ave
Pensacola, FL 32514
Phone (850) 474-8360
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- haryashpal.bhullar@hca5.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Geriatric Psychiatry Physician
- Pensacola, FL
- NPI 1457336604
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1639116726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1992328827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2191 E JOHNSON AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146029",
"telephone_number": "850-494-3953",
"fax_number": "850-494-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2191 E JOHNSON AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146029",
"telephone_number": "850-494-3953",
"fax_number": "850-494-3950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHULLAR",
"first_name": "HARYASHPAL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-27",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"deactivation_date": "2022-01-18",
"reactivation_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "OS19734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.