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1861051260 NPI number — VIVEK BRAHMBHATT

NPI Number: 1861051260
Health Care Provider/Practitioner: VIVEK BRAHMBHATT

Information about “1861051260” NPI (VIVEK BRAHMBHATT) exists in 1861051260 in HTML format HTML  |  1861051260 in plain Text format TXT  |  1861051260 in PDF (Portable Document Format) PDF  |  1861051260 in an XML format XML  formats.

NPI Number : 1861051260 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861051260",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRAHMBHATT",
    "FirstName": "VIVEK",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "520 SUMMIT PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BIRMINGHAM",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35243-3111",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "678-704-3617",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11460 US HIGHWAY 431",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GUNTERSVILLE",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35976-5747",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "256-763-0915",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/10/2019",
    "LastUpdateDate": "06/10/2019",
    "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": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "0006646-C1",
        "LicenseNumberStateCode": "AL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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