Changil Lee Bachman, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP113612 Issued in TX

Practice address

1295 Arrington Rd Ste 300
College Station, TX 77845-8603

Phone

(979) 213-5218

Fax

(979) 213-5219

NPI assigned

Apr 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: changil.bachman.2@27353.direct.athenahealth.com

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

• Apex HC, LLC

  dba Apex Health Clinic

  • Primary Care Clinic/Center
  • College Station, TX
  • NPI 1205560794
  NPD Authorized official
• Regional Employee Assistance Program Inc

  • Cardiovascular Disease Physician
  • Abilene, TX
  • NPI 1073575585
  NPD (past)
• Shawnee Mission Medical Center, Inc.

  dba AdventHealth Centra Care

  • Urgent Care Clinic/Center
  • Shawnee, KS
  • NPI 1942317854
  NPD (past)

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1477515864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 ELDORADO PKWY, BOX 150-153",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75033",
            "telephone_number": "469-598-1200",
            "fax_number": "972-637-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 ARRINGTON RD STE 300",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458603",
            "telephone_number": "979-213-5218",
            "fax_number": "979-213-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHMAN",
        "first_name": "CHANGIL",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP113612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171954401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea N Austin, CPHT
• Sonja Avendano
• Axis Therapy Services
• B CS Women S Health PLLC
• Russell Bryan Bacak, M.D.
• Dam Bae
• Karen Mae Baer, RN
• Aaron C Bai
• Maria Nadeem Baig, PA
• Muhammad Almas Baig, MD

• Family Nurse Practitioner in College Station, TX
• Providers in College Station, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.