Active NPI
Kevin Gregory Bachman, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 449
- Practice address
- 1602 Doctors Cir
Wilmington, NC 28401-7406 - Phone
- (910) 343-8889
- Fax
- (910) 343-9990
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 449 | NC | Primary |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 449 | NC | |
| Foot Surgery Podiatrist | 213ES0131X | 449 | NC |
Addresses
Primary practice location
1602 Doctors Cir
Wilmington, NC 28401-7406
Mailing address
1602 Doctors Cir
Wilmington, NC 28401-7406
Phone (910) 343-8889
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E1552 | Other | NC | MEDCOST |
| P00959570 | Other | MEDICARE RAILROAD | |
| 0807N | Other | NC | BCBS NC |
| 890807N | Medicaid | NC | |
| E1550 | Other | NC | MEDCOST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060809000473 | NC | Practitioner - Podiatry | 7315940491 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Instride Foot and Ankle Specialists, PLLCNew Hanover Community Health Center Incorporated
Practice addresses (Care Compare)
130 Lake Concord Rd NE
Suite B
Concord, NC 28025-1906
Phone (704) 886-1918
1602 Doctors Cir
Wilmington, NC 28401-7406
Phone (910) 791-1300
925 N 4TH St
Wilmington, NC 28401-3450
Hospital & facility affiliations
- Well Care Home Health
- Novant Health New Hanover Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 99 |
| Removal of skin lesions | 69 |
| Removal of nail tissue | 555 |
| Removal or shaving of skin growth | 54 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 449 | NC | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hanover Community Health Center Incorporated | Current | Accepting new patients | |
| Instride Foot and Ankle Specialists, PLLC | Primary Podiatric Medicine | Current | Accepting new patients |
| Instride Foot and Ankle Specialists, PLLC | Primary Podiatric Medicine | Current | Accepting new patients |
| New Hanover Community Health Center Incorporated | Current | Accepting new patients | |
| Jeffrey B. Pupp | Primary Podiatric Medicine | Past | Accepting new patients |
| Jeffrey B Pupp | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
130 Lake Concord Rd NE
Ste B
Concord, NC 28025
Phone (704) 786-4482
1036 Branchview Dr
Ste 216
Concord, NC 28025
Phone (704) 886-1918
205 E Main St
Wallace, NC 28466
Phone (910) 285-3362
114 N Norwood St
Wallace, NC 28466
Phone (910) 285-3362
603 Pecan Ln
Whiteville, NC 28472
Phone (910) 640-1400
240 Calhoun Dr
Wilmington, NC 28412
Phone (910) 202-8656
1602 Doctors Cir
Wilmington, NC 28401
Phone (910) 343-8889
925 N 4th St
Wilmington, NC 28401
Phone (910) 254-4690
Interoperability endpoints
- kbachman1243176@direct.novanthealth.org
Organizations & group practices 27
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.
-
- Primary Podiatric Medicine Podiatrist
- Concord, NC
- NPI 1457601601
NC, Primary Podiatric Medicine
-
- Federally Qualified Health Center (FQHC)
- Wilmington, NC
- NPI 1912954090
NC
-
- Primary Podiatric Medicine Podiatrist
- King, NC
- NPI 1063390862
Primary Podiatric Medicine
-
- Federally Qualified Health Center (FQHC)
- Wilmington, NC
- NPI 1457512691
-
- Primary Podiatric Medicine Podiatrist
- Mount Airy, NC
- NPI 1477171890
-
- Foot & Ankle Surgery Podiatrist
- New Bern, NC
- NPI 1003160680
-
- Primary Podiatric Medicine Podiatrist
- Kannapolis, NC
- NPI 1093669905
-
- Primary Podiatric Medicine Podiatrist
- Chapel Hill, NC
- NPI 1295611184
-
- Foot & Ankle Surgery Podiatrist
- New Bern, NC
- NPI 1336529569
-
- Foot & Ankle Surgery Podiatrist
- Supply, NC
- NPI 1346594504
-
- Primary Podiatric Medicine Podiatrist
- Gastonia, NC
- NPI 1619935467
-
- Foot & Ankle Surgery Podiatrist
- Statesville, NC
- NPI 1760736284
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
Hospital
-
- Home Health Agency
- Wilmington, NC
- NPI 1760470660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379462400000",
"number": "1497722672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 DOCTORS CIR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017406",
"telephone_number": "910-343-8889",
"fax_number": "910-343-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 DOCTORS CIR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017406",
"telephone_number": "910-343-8889",
"fax_number": "910-343-9990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHMAN",
"first_name": "KEVIN",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2013-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NC",
"license": "449",
"primary": true
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NC",
"license": "449",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NC",
"license": "449",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "E1552",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00959570",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "0807N",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890807N",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "E1550",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.