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1457351322

NPI Code Detail

MEDICARE: BHARAT C PATEL MD

MEDICARE: BHARAT C PATEL MD

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	2081S0010X	Sports Medicine (Physical Medicine & Rehabilitation) Physician	ME93866	FL
2	208100000X	Physical Medicine & Rehabilitation Physician	ME83866	FL
3	208VP0000X	Pain Medicine Physician	ME93866	FL
4	208VP0014X	Interventional Pain Medicine Physician	ME93866	FL
5	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	ME93866	FL
6	204R00000X	Electrodiagnostic Medicine Physician	ME93866	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00605601	OTHER	FL	MEDICARE RAILROAD CARRIER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7067635	OTHER	FL	AETNA
2	11343100	OTHER		CAQH
4	01069	OTHER	FL	BC BS FL

General Provider Information

NPI Number	:	1457351322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHARAT C PATEL MD

Provider Business Mailing Address
First Line	:	5200 HOFFNER AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32812-2432
Country	:	US
Telephone Number	:	407-326-6898
Fax Number	:	407-326-6882

Provider Business Practice Location Address
First Line	:	7955 SPYGLASS HILL RD STE A
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32940-8249
Country	:	US
Telephone Number	:	321-255-6670
Fax Number	:	321-242-2545

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	11/25/2025

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Directions to “ BHARAT C PATEL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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