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
Mailing address1129 N Main St Ste G, South Boston, VA 24592-2547

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