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Active NPI 1467632521 Individual Practitioner Female Practitioner

Dr. Vimla Praveni Bhagwandin , MD

Pediatrics • Mobile, AL

Professional Overview & Biography Verified Profile Summary

Dr. Vimla Bhagwandin, MD is a registered healthcare professional specializing in Pediatrics in Mobile, AL. Practice services are available at 6908 PROVIDENCE PARK DR S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6908 Providence Park Dr S

Mobile, AL 366954600

Telephone 2516603490
Fax 2516603491
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Mobile, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.4 Yrs
State Avg: 28.7 Yrs
Regional Practice Density
107 Specialists

Practicing in Mobile, AL (853 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AL 28261

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
631500075 (AL)
Commercial Insurance / Payer ID Blue Cross And Blue Shield Of Alabama
515-45281
Commercial Insurance / Payer ID Medicare Pecos
510I37000 (AL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Jeffrey Tisch , DO

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1194220384

Doctor of Osteopathic Medicine (D.O.)

Amy Goff , LPC

Counselor - Mental Health

NPI 1215780424

Licensed Professional Counselor

NPI 1285880799

Doctor of Medicine (M.D.)

NPI 1356571400

Doctor of Medicine (M.D.)

Dr. Nancy Weible , MD

Family Medicine

NPI 1568419513

Doctor of Medicine (M.D.)

Stephanie Andrews , CRNP

Nurse Practitioner - Family

NPI 1699194449

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 06, 2018

Registered at 6908 PROVIDENCE PARK DR S, MOBILE, AL 366954600 (Tel: 2516603490)

📍
Updated Practice Location August 16, 2018

Registered at 6908 PROVIDENCE PARK DR S, MOBILE, AL 36695 (Tel: 2516603490)

📍
Updated Business Mailing Address August 16, 2018

Registered at 6908 PROVIDENCE PARK DR S, MOBILE, AL 366954600 (Tel: 2516603490)

NPI Profile Active July 21, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 21, 2010

Registered at 12701 PADGETT SWITCH RD, IRVINGTON, AL 365444011 (Tel: 2518242174)

📍
Updated Business Mailing Address July 21, 2010

Registered at PO BOX 769, BAYOU LA BATRE, AL 365090769 (Tel: 2518242174)

👤
Provider Name / Credentials Updated July 21, 2010

Recorded as VIMLA BHAGWANDIN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2010

Pediatrics (License #28261 in AL)

🟢
Initial NPI Registration & Enumeration November 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467632521
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2007
Last Update: October 06, 2018
Sole Proprietor: Yes

Mailing Address

6908 Providence Park Dr S

Mobile, AL 366954600

Phone: 2516603490

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.