Active NPI
Gloria Bachelder MD PC
Doing business as Home of the Healing Arts
- Family Medicine Physician
- Erie, CO
National Provider Identifier
1063682375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 32141
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C803326 | Other | CO | GROUP PIN |
| 1063549749 | Other | NPI INDIVIDUAL |
Other names 1
- HOME OF THE HEALING ARTS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Erie, CO
- NPI 1063549749
-
- Family Medicine Physician
- Boulder, CO
- NPI 1285613646
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.