Individual provider Active NPI

Joel Roger Bachman, PA

  • Physician Assistant
  • Brownwood, TX
National Provider Identifier
1447390380
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04943 Issued in TX
Practice address
2210 Crockett Dr
Brownwood, TX 76801-5902
Phone
(325) 203-5190
Fax
(833) 340-1327
NPI assigned
Feb 8, 2007
Last updated
Aug 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA04943 TX Primary

Addresses

Primary practice location

2210 Crockett Dr
Brownwood, TX 76801-5902

Mailing address

2210 Crockett Dr
Brownwood, TX 76801-5902
Phone (325) 203-5190

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbachman205860@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071003000836 TX Practitioner - Physician Assistant 5193810232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians

Practice addresses (Care Compare)

1501 Burnet Rd
Brownwood, TX 76801-8520
Phone (325) 649-5000

1904 Pine St
Abilene, TX 79601-2450

2210 Crockett Dr
Brownwood, TX 76801-5902
Phone (325) 203-5190

403 W Wallace St
San Saba, TX 76877-4433
Phone (325) 327-5701

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Sep 1, 2022 Accepting new patients
Scott & White Hospital - Marble Falls CurrentSince Oct 29, 2019 Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

2210 Crockett Dr
Brownwood, TX 76801
Phone (325) 203-5190

101 E Jackson St
Burnet, TX 78611
Phone (512) 756-7510

810 W Highway 71
Marble Falls, TX 78654
Phone (830) 201-7100

2005 W Wallace St
San Saba, TX 76877
Phone (325) 372-5163

Interoperability endpoints

  • Direct secure messaging: jbachman205860@direct.sw.org
  • Direct secure messaging: joel.bachman.1@21794.direct.athenahealth.com

Organizations & group practices 4

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 1

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1447390380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 CROCKETT DR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015902",
            "telephone_number": "325-203-5190",
            "fax_number": "833-340-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 CROCKETT DR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015902",
            "telephone_number": "325-203-5190",
            "fax_number": "833-340-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHMAN",
        "first_name": "JOEL",
        "middle_name": "ROGER",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbachman205860@direct.sw.org",
            "affiliation": "N",
            "address_1": "2005 W Wallace St",
            "city": "San Saba",
            "state": "TX",
            "country_code": "US",
            "postal_code": "768773928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

Verify at the official NPI Registry.