Organization Active NPI

Gloria Bachelder MD PC

Doing business as Home of the Healing Arts

  • Family Medicine Physician
  • Erie, CO
National Provider Identifier
1063682375
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32141 Issued in CO
Legal business name
GLORIA BACHELDER MD PC
Doing business as
Home of the Healing Arts
Practice address
636 Kattell Street
Erie, CO 80516-0445
Phone
(303) 828-9200
NPI assigned
Mar 4, 2008
Last updated
May 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Authorized official

Name
Gloria Bachelder, M.D.
Title
President
Phone
(303) 828-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 32141 CO Primary

Addresses

Primary practice location

636 Kattell Street
Erie, CO 80516-0445

Mailing address

PO Box 445
636 Kattell Street
Erie, CO 80516-0445
Phone (303) 828-9200

Other identifiers 2

IdentifierTypeStateIssuer
C803326OtherCOGROUP PIN
1063549749OtherNPI INDIVIDUAL

Other names 1

  • HOME OF THE HEALING ARTS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051004000981 CO Part B Supplier - Clinic/Group Practice 6305871757 Receives reassigned benefits from 2 practitioners
Practice locations: Erie, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1063682375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "address_2": "636 KATTELL STREET",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805160445",
            "telephone_number": "303-828-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 KATTELL STREET",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805160445",
            "telephone_number": "303-828-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA BACHELDER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "BACHELDER",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-828-9200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "32141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PIN",
            "identifier": "C803326",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1063549749",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOME OF THE HEALING ARTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erie, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.