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TIMOTHY BACHENBERG MD NPI 1093799603


NPI Information

NPI: 1093799603
Provider Name: TIMOTHY BACHENBERG, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
800 MEDICAL CENTER DR
FAIRMONT, MN
ZIP 56031
Phone: (507) 238-8555
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Timothy Bachenberg, MD is a family medicine in Fairmont, MN with 34 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Timothy Bachenberg, MD NPI is 1093799603. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MAYO MEDICAL SCHOOL
Graduation Year:1990

The provider's business location address is:

800 MEDICAL CENTER DR
FAIRMONT, MN
ZIP 56031-575
Phone: (507) 238-8555

The NPI 1093799603 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 12/6/2005 and was last updated on 12/19/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine34448MINNESOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
106Q36BAMEDICARE ID-TYPE UNSPECIFIEDMINNESOTABC MEDICARE SUPPLEMENT
2HP29866OTHERMINNESOTAHEALTHPARTNERS
3E97095MEDICARE UPIN
47293OTHERMINNESOTAAVERA
5120541MEDICAIDMINNESOTA
606Q36BAOTHERMINNESOTABLUE CROSS
780004330MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
8983395MEDICAIDIOWA
9A021OTHERMINNESOTACHAMPUS
1001-13050OTHERMINNESOTAMEDICA
1123346OTHERMINNESOTASIOUX VALLEY
12MH9041001734OTHERMINNESOTAPREFERREDONE
13604566OTHERMINNESOTAARAZ
1480004330MEDICARE ID-TYPE UNSPECIFIEDMINNESOTARAILROAD MEDICARE
1506Q36BAMEDICAIDMINNESOTA
16762580400MEDICAIDMINNESOTA
1780004330MEDICARE NSCMINNESOTA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.