NPIMap

Individual provider Active NPI

Lawrence R Bachle, DO

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Punta Gorda, FL
National Provider Identifier
1114978343
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
OS6291 Issued in FL
Practice address
25097 Olympia Ave
Suite 107
Punta Gorda, FL 33950-3903
Phone
(941) 205-2620
Fax
(941) 206-2630
NPI assigned
May 12, 2006
Last updated
Feb 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X OS6291 FL Primary

Addresses

Primary practice location

25097 Olympia Ave
Suite 107
Punta Gorda, FL 33950-3903

Mailing address

PO Box 510669
Punta Gorda, FL 33951-0669
Phone (941) 764-9560

Other identifiers 3

IdentifierTypeStateIssuer
P00316034OtherFLRR MEDICARE
37095230MedicaidFL
DE7887OtherFLRR MEDICARE GRP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041209000924 FL Practitioner - Emergency Medicine 7618933797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

809 E Marion Ave
Punta Garda, FL 33950-3819
Phone (941) 205-2620

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Larry R Bachle DO Facoep PA Undersea and Hyperbaric Medicine CurrentSince Mar 15, 2006 Accepting new patients
Advance Technological Radiology, PA Past Accepting new patients
Paragon Contracting Services LLC Past Accepting new patients
Oceanwind ER SVCS Partnership LLC Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Dr. R. Doug. Morrow, DO Undersea and Hyperbaric Medicine Past Accepting new patients
Emergency Physician Specialists Inc PastSince Feb 1, 2013 Accepting new patients

Locations

25097 Olympia Ave
Ste 107
Punta Gorda, FL 33950
Phone (941) 205-2620

809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951

809 E Marion Ave
Fl Pa
Punta Gorda, FL 33950
Phone (941) 575-2717

Interoperability endpoints

  • Direct secure messaging: lbachle@direct-address.org
  • Direct secure messaging: lbachle@directaddress.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1114978343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510669",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339510669",
            "telephone_number": "941-764-9560",
            "fax_number": "941-764-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25097 OLYMPIA AVE",
            "address_2": "SUITE 107",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503903",
            "telephone_number": "941-205-2620",
            "fax_number": "941-206-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHLE",
        "first_name": "LAWRENCE",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "OS6291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00316034",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37095230",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GRP #",
            "identifier": "DE7887",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.