Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bakul Kumar Patel

Individual provider Gastroenterology Physician · NPI 1912914102

Bakul Kumar Patel is a Gastroenterology in South Boston, Virginia. Qualified in 1996, 30 years ago. Practices with Southern Gastroenterology Associates PC, a 5-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
30
Licensed in
NC, VA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1129 N Main St Ste G
South Boston, VA 24592-2547
Phone: (434) 572-8196
Fax: (434) 572-8341
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 503 Ridge Rd, Roxboro, NC 27573-4627 — (336) 503-5757
  • 2232 Wilborn Ave, South Boston, VA 24592-1662 — (434) 572-8196

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 2013-00007 (NC)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 101234858 (VA)

Record details

NPI number1912914102
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Southern Gastroenterology Associates Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in South Boston