Individual provider Active NPI

Rebecca C. Bache, M.D.

  • Family Medicine Physician
  • Lake Worth, FL
National Provider Identifier
1003997040
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
54827 Issued in FL
Practice address
4140 Lake Worth Rd
Lake Worth, FL 33461-3901
Phone
(561) 965-9638
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 54827 FL Primary

Addresses

Primary practice location

4140 Lake Worth Rd
Lake Worth, FL 33461-3901

Mailing address

750 S Federal Hwy
Deerfield BCH, FL 33441-5767
Phone (561) 736-6620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120328000194 FL Practitioner - Family Practice 1850598236 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54827FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mecnb, LLC CurrentSince Oct 5, 2016 Accepting new patients
Mecnb, LLC Family Medicine CurrentSince Oct 5, 2016 Accepting new patients
Mecnb, LLC Current Accepting new patients
Horn & Bache, P.a. Family Medicine PastSince Jul 21, 1993 Accepting new patients
Medical Specialists of the Palm Beaches Inc Past Accepting new patients

Locations

750 S Federal Hwy
Deerfield Beach, FL 33441
Phone (954) 421-8181

2720 10th Ave N
Ste 100
Palm Springs, FL 33461
Phone (561) 540-4446

6515 S Kanner Hwy
Stuart, FL 34997
Phone (772) 463-1123

225 S US Highway 1
Tequesta, FL 33469
Phone (561) 747-4464

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1003997040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S FEDERAL HWY",
            "city": "DEERFIELD BCH",
            "state": "FL",
            "postal_code": "334415767",
            "telephone_number": "561-736-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 LAKE WORTH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613901",
            "telephone_number": "561-965-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHE",
        "first_name": "REBECCA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "54827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.