MEDICARE: REDPEARMD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QS0010X	Sports Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1215863014
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDPEARMD LLC

Provider Business Mailing Address
First Line	:	3194 BUFORD HWY STE 100
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-3386
Country	:	US
Telephone Number	:	404-490-0754
Fax Number	:	678-712-4389

Provider Business Practice Location Address
First Line	:	3194 BUFORD HWY STE 100
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-3386
Country	:	US
Telephone Number	:	404-490-0754
Fax Number	:	678-712-4389

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. PURNIMA BANSAL
Credential	:	MD
Telephone Number	:	404-490-0754

Provider Enumeration Date	:	06/19/2026
Last Update Date	:	06/19/2026

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Directions to “REDPEARMD LLC ” Practice Location

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