BRIAN PHILLIP BACH DPM NPI 1083726723

NPI Information

NPI: 1083726723
Provider Name: BRIAN PHILLIP BACH, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
9015 WOODYARD
#211
CLINTON, MD
ZIP 20735
Phone: (301) 868-0087
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Brian Phillip Bach, DPM is a podiatrist in Clinton, MD. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Brian Phillip Bach, DPM NPI is 1083726723. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9015 WOODYARD
#211
CLINTON, MD
ZIP 20735
Phone: (301) 868-0087

The enumeration date for this NPI number is 8/31/2006 and was last updated on 5/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		908	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	145155	MEDICARE ID-TYPE UNSPECIFIED
2	380598100	MEDICAID	MARYLAND
3	T30930	MEDICARE UPIN
4	1720266745	OTHER	MARYLAND	MEDICARE NPI TYPE 2

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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