Healthcare Provider Details

I. General information

NPI: 1528039401
Provider Name (Legal Business Name): DAVID M BACHMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 21ST ST NW STE M400
WASHINGTON DC
20036-3336
US

IV. Provider business mailing address

1155 21ST ST NW STE M400
WASHINGTON DC
20036-3336
US

V. Phone/Fax

Practice location:
  • Phone: 202-296-4901
  • Fax: 202-293-3409
Mailing address:
  • Phone: 202-296-4901
  • Fax: 202-293-3409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD12880
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: