Steven J. Bachrach, MD

Individual provider Active NPI General Practice Physician · Wilmington, DE

NPI 1114018405 · NPPES record last updated Sep 15, 2015

Key facts

NPI
1114018405
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
C10003032 (DE)
Practice address
1600 Rockland Rd
Wilmington, DE 19803-3607
Phone
(302) 651-4200
Fax
(302) 651-5948
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C10003032 DE
General Practice Physician 208D00000X C10003032 DE Yes
Hospitalist Physician 208M00000X C10003032 DE
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X C10003032 DE

Addresses

Primary practice location

1600 Rockland Rd
Wilmington, DE 19803-3607

Mailing address

PO Box 191
Provider Enrollment Dept
Rockland, DE 19732-0191
Phone (302) 651-6212

Other identifiers

IdentifierTypeStateIssuer
4437940MedicaidDC
001072050MedicaidPA
6745156MedicaidVA
7707215MedicaidMD
5030307MedicaidNJ
1165476MedicaidLA
01429845MedicaidNY
Q03032MedicaidSC

Other providers in Wilmington, DE

All providers in Wilmington, DE · General Practice Physician in Delaware

Sources for this page

Verify at the official NPI Registry.