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NPI Code Detail

MEDICARE: BRIAN L BACHELDER MD

MEDICARE:   BRIAN L BACHELDER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician35--049315OH
2207P00000XEmergency Medicine Physician35.049315OH
3207Q00000XFamily Medicine Physician35-049315OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
20558476OTHEROHPPG INDIVIDUAL MEDICARE #
53600271OTHEROHAGMC - CFM MEDICARE GROUP #
79338635OTHEROHPARTNERS PHYSICIAN GROUP MEDICARE GROUP #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31821035940OTHEROHAGMC - CFM TYPE 2 NPI #
41841239274OTHEROHPARTNERS PHYSICIAN GROUP TYPE 2 NPI #
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356439228
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN L BACHELDER MD
Provider Business Mailing Address
First Line : 1395 NW 167TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33169-5710
Country : US
Telephone Number : 614-702-7655
Fax Number : 614-706-1770
Provider Business Practice Location Address
First Line : 5156 E MAIN ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-2424
Country : US
Telephone Number : 614-702-7655
Fax Number : 614-706-1770
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 12/10/2025

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Directions to “ BRIAN L BACHELDER MD” Practice Location

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