DIVYA BANSAL D.O.
NPI 1619369774
Student in an Organized Health Care Education/Training Program in Montgomery, AL

Active since February 26, 2015PECOS Enrolled
4371 NARROW LANE RD STE 100, MONTGOMERY, AL 36116(334) 613-3680(334) 613-3685 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Divya Bansal D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVYA BANSAL D.O. (NPI 1619369774) is an individual student in an organized health care education/training program in Montgomery, Alabama, licensed in Alabama (L.4102R) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619369774
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDIVYA BANSALCredential: D.O.
Location Address4371 NARROW LANE RD STE 100Montgomery, AL 36116-2975
Mailing Address4371 Narrow Lane Rd Ste 100Montgomery, AL 36116-2975 · (334) 613-3680 · Fax (334) 613-3685
Fax(334) 613-3685
Sole ProprietorNo
Enumeration DateFebruary 26, 2015
✔ NPI 1619369774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License✔ Licensed in AL · L.4102R
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4371 NARROW LANE RD STE 100, Montgomery, AL 36116

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Divya Bansal D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Divya Bansal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care
26 BATTLEFIELD PKWY
Ft. Oglethorpe, GA 30742
  • Reassigned Medicare billing, Georgia enrollment
  • 38 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
4371 NARROW LANE RD STE 100
MONTGOMERY, AL 36116
Student in an Organized Health Care Education/Training Program
4371 NARROW LANE RD STE 100
MONTGOMERY, AL 36116
Student in an Organized Health Care Education/Training Program
4371 NARROW LANE RD STE 100
MONTGOMERY, AL 36116
Family Medicine
4371 NARROW LANE RD STE 100
MONTGOMERY, AL 36116
Family Medicine
4371 NARROW LANE RD STE 100
MONTGOMERY, AL 36116
Student in an Organized Health Care Education/Training Program
4371 NARROW LANE RD STE 100
MONTGOMERY, AL 36116
Student in an Organized Health Care Education/Training Program
4371 NARROW LANE RD STE 100
MONTGOMERY, AL 36116
Family Medicine
4371 NARROW LANE RD STE 100
MONTGOMERY, AL 36116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divya Bansal's NPI number?

The NPI number for Divya Bansal is 1619369774. It was assigned to this individual provider in the NPPES registry on February 26, 2015.

Where is Divya Bansal located?

Divya Bansal practices at 4371 Narrow Lane Rd Ste 100, Montgomery, AL 36116. The listed phone number is (334) 613-3680.

What is Divya Bansal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Divya Bansal enrolled in Medicare?

Yes. Divya Bansal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Divya Bansal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Divya Bansal reassigns Medicare benefits to AFC Physicians Of Georgia Primary Care, PC (Ft. Oglethorpe, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Divya Bansal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Divya Bansal was last updated on February 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.