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

Ishan Bhansaly, MD

Individual provider Family Medicine Physician · NPI 1972824357

Ishan Bhansaly, MD is a Family Practice in Greenville, South Carolina. Qualified in 2010, 16 years ago. Practices with Self Medical Group, a 396-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
16
Licensed in
NC, SC
In the registry since
2010
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

701 Grove Rd Fl 5
Greenville, SC 29605
Phone: (864) 455-4411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3205 Randall Pkwy Ste 105, Wilmington, NC 28403-2565 — (910) 742-9243
  • 200 Fleetwood Dr, Easley, SC 29640 — (864) 442-7200

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 32920 (SC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2021-02145 (NC)
Hospitalist Physician Taxonomy 208M00000X · Licence 2021-02145 (NC)
Hospitalist Physician Taxonomy 208M00000X · Licence 32920 (SC)

Record details

NPI number1972824357
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2010
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE, HOSPITALIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Self Medical Group — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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