Individual ProviderBhaumik BrahmbhattInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4500 San Pablo Rd S, Jacksonville, FL 32224-1865(904) 953-2000PECOS EnrollmentBased on the most recent information from CMS, provider Bhaumik Brahmbhatt is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1891920195Provider TypeIndividualFull NameBrahmbhatt, BhaumikCredentialMBBSGenderMaleSole ProprietorNoEnumeration Date5/16/2009Last Updated8/31/2020Contact InformationPractice LocationPractice Address4500 San Pablo Rd S, Jacksonville, FL 32224-1865Phone(904) 953-2000FaxUnlisted FaxMailing LocationMailing Address4500 San Pablo Rd S, Jacksonville, FL 32224-1865PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207RG0100XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME112737FloridaCode207RG0100XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense64524Minnesota