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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4437940 | Medicaid | DC | |
| 001072050 | Medicaid | PA | |
| 6745156 | Medicaid | VA | |
| 7707215 | Medicaid | MD | |
| 5030307 | Medicaid | NJ | |
| 1165476 | Medicaid | LA | |
| 01429845 | Medicaid | NY | |
| Q03032 | Medicaid | SC |
Other providers in Wilmington, DE
- Evgeny Babak
- Nathan Joshua Babe
- Michele Lynn Babicki
- Janelle Bacani
- Stacey Outten Bachman
- Shykera A Backus
- Jessica Badger
- Jeanne Marie Baffa
- Georgia Simone Bafundo
- Casey Maeve Baginski
All providers in Wilmington, DE · General Practice Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.