BRIAN PHILLIP BACH (NPI# 1083726723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083726723 |
| Entity Type | Individual |
| Full Name | BRIAN PHILLIP BACH |
| Credential | DPM |
| Practice Address |
9015 Woodyard #211 Clinton MD 20735 |
| Practice Telephone | 3018680087 |
| Mailing Telephone | 3018680087 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 908 | MD | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 380598100 | 05 | |
| MD | MEDICARE NPI TYPE 2 | 1720266745 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174174684 | Brian Anthony Bach | Pharmacist | 4309 New Bern Ave, Raleigh, NC 27610-1445 | 2019-09-25 |
| Street Address |
9015 WOODYARD #211 |
| City | CLINTON |
| State | MD |
| Zip Code | 20735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376803429 | Advanced Footcare Center | Podiatrist | 23 W Main St Apt A, Clinton, CT 06413-2062 | 2012-05-23 |
| 1740591726 | Advanced Podiatry, Inc. | Podiatrist | 1320 11th St Nw Ste F, Clinton, IA 52732-5069 | 2010-06-24 |
| 1073782462 | Woodward Foot Clinic Pllc | Podiatrist | 812 Frisco Ave, Clinton, OK 73601-3323 | 2008-02-29 |
| 1508048356 | Dr. Andrew M. Berliner | Podiatrist | 246 East Main Street, Suite 2, Clinton, CT 06413 | 2007-12-04 |
| 1497864698 | Stefanie Monique Thomas | Podiatrist | 705 Hwy 80 West, Clinton, MS 39056 | 2006-08-30 |
| 1922032028 | Kenneth Farrish | Podiatrist | 705 Highway 80 W, Clinton, MS 39056-4103 | 2006-07-11 |
| 1285634469 | Bradley D Nelson | Podiatrist | 207 S 30th Street, Clinton, OK 73601 | 2005-07-28 |
| 1073512448 | Steven E Craig | Podiatrist | 2745 Lincoln Way, Clinton, IA 52732-7201 | 2005-07-19 |
| 1710982327 | Andrew Mark Berliner | Podiatrist | 246 E Main St, Suite 2, Clinton, CT 06413-2245 | 2005-06-20 |
| 1205387263 | Giaimo Mobile Podiatry Pllc | Podiatrist | 106 Padgett Dr, Clinton, KY 42031-1313 | 2016-10-14 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.