Individual provider Active NPI

Adella Bachman, MD

  • Surgery Physician
  • Omaha, NE
National Provider Identifier
1285237628
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
18643 Issued in NE
Practice address
663 N 132ND St # 160
Omaha, NE 68154-4031
Phone
(402) 616-3591
NPI assigned
Nov 18, 2020
Last updated
Nov 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 18643 NE Primary

Addresses

Primary practice location

663 N 132ND St # 160
Omaha, NE 68154-4031

Mailing address

663 N 132ND St # 160
Omaha, NE 68154-4031
Phone (402) 616-3591

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL Address Direct
Other URL Address Direct
Other URL Address Direct

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18643NEMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1285237628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 N 132ND ST # 160",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544031",
            "telephone_number": "402-616-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 N 132ND ST # 160",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544031",
            "telephone_number": "402-616-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHMAN",
        "first_name": "ADELLA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "18643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Address",
            "affiliation": "N",
            "endpointDescription": "Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Address",
            "address_1": "663 N 132nd St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681544031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Address",
            "affiliation": "N",
            "endpointDescription": "Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "663 N 132nd St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681544031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Address",
            "affiliation": "N",
            "endpointDescription": "Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "663 N 132nd St # 160",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681544031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.