Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GHAZWAN IMAD BAHRO MD
NPI 1720780869
Hospitalist in Hattiesburg, MS

Q: What is Ghazwan Bahro's NPI number?

The NPI number for Ghazwan Bahro is 1720780869. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Q: What is Ghazwan Bahro's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Ghazwan Bahro was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.

Active since March 21, 2023PECOS Enrolled

415 S 28TH AVE, HATTIESBURG, MS 39401(601) 288-4329(601) 288-3191 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2026, Jul 1, 2024, Mar 21, 2023 (3 updates tracked since 2023).

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About Dr. Ghazwan Imad Bahro Md NPPES

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

DR. GHAZWAN IMAD BAHRO MD (NPI 1720780869) is an individual hospitalist provider in Hattiesburg, Mississippi, licensed in Mississippi (37440) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saginaw.

NPPES Registry Identity

NPI1720780869

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. GHAZWAN IMAD BAHROCredential: MD

Location Address415 S 28TH AVEHattiesburg, MS 39401-7246

Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 264-6000 · Fax (601) 288-3191

Phone(601) 288-4329

Fax(601) 288-3191

Sole ProprietorNo

Enumeration DateMarch 21, 2023

Last NPPES UpdateJuly 30, 20263 updates tracked since enumeration

NPPES CertifiedJuly 30, 2026

✔ NPI 1720780869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in MS · 37440

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

415 S 28TH AVE, Hattiesburg, MS 39401

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Secondary Practice Location 1

Location 11000 Houghton AveSaginaw, MI 48602-5303 · Phone (989) 746-3681

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ghazwan Imad Bahro Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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