Organization Active NPI

Primarycare Housecalls PC

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1114397254
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19119 Issued in NE
Legal business name
PRIMARYCARE HOUSECALLS PC
Practice address
5601 S 59TH St
Lincoln, NE 68516-2306
Phone
(507) 238-4844
NPI assigned
Oct 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Authorized official

Name
Dr. Timothy C Bachenberg, MD
Title
President
Phone
(507) 238-4844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 19119 NE Primary

Addresses

Primary practice location

5601 S 59TH St
Lincoln, NE 68516-2306

Mailing address

322 S State St
Fairmont, MN 56031-4139
Phone (507) 238-4844

Other identifiers 1

IdentifierTypeStateIssuer
123OtherNEAPPLYING FOR THESE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1114397254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 S STATE ST",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314139",
            "telephone_number": "507-238-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 S 59TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685162306",
            "telephone_number": "507-238-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARYCARE HOUSECALLS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "BACHENBERG",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-238-4844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "19119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APPLYING FOR THESE",
            "identifier": "123",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.