1184737959 NPI number — BHUPENDRA P PATEL M.D., P.A.

NPI Number: 1184737959
Health Care Provider/Practitioner: BHUPENDRA P PATEL M.D., P.A.

NPI Number : 1184737959 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184737959",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PATEL",
    "FirstName": "BHUPENDRA",
    "MiddleName": "P",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D., P.A.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PATEL",
    "OtherFirstName": "BHUPENDRA",
    "OtherMiddleName": "P",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.D., P.A.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "925 N STONE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DELAND",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32720-2521",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "386-736-9317",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "925 N STONE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DELAND",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32720-2521",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "386-734-6007",
    "PracticeLocationAddressFaxNumber": "386-734-6008",
    "EnumerationDate": "08/16/2006",
    "LastUpdateDate": "11/05/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207R00000X",
        "TaxonomyName": "Internal Medicine Physician",
        "LicenseNumber": "ME0037148",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}