Active NPI
William Kendall Bache III, M.D.
- Psychiatry Physician
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 272907
- Practice address
- 940 Belmont St BLDG 5
Brockton, MA 02301-5596 - Phone
- (774) 826-2458
- NPI assigned
- May 2, 2013
- Last updated
- Aug 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 272907 | MA | Primary |
Addresses
Primary practice location
940 Belmont St BLDG 5
Brockton, MA 02301-5596
Mailing address
940 Belmont St BLDG 5
Brockton, MA 02301-5596
Phone (774) 826-2458
Other practice location 1
169 Ashley Ave
Room 202 Main Hospital MSC333
Charleston, SC 29425-8905
Phone (843) 792-5051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Louisville School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
47 Pleasant St
Suite 1 NW
Northampton, MA 01060-4071
Phone (413) 203-6922
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The McLean Hospital Corporation | Single Specialty | Current | Accepting new patients |
| The Commonwealth of Massachusetts | Single Specialty | Current | Accepting new patients |
Locations
115 Mill St
Belmont, MA 02478
Phone (617) 855-2000
940 Belmont St
Bldg 5
Brockton, MA 02301
Phone (774) 273-5686
49 Hillside St
Fall River, MA 02720
Phone (508) 235-7200
23 Isaac St
Middleboro, MA 02346
Phone (774) 419-1000
Interoperability endpoints
- greenbrooktmsma.williambache@158765.advancedmd-direct.com
- william.bache.1@18773.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.
-
- Psychiatry Physician
- Northampton, MA
- NPI 1295286920
-
dba Corrigan Mental Health Center
- Psychiatric Hospital
- Fall River, MA
- NPI 1194803288
Single Specialty
-
dba McLean Professional Practice Group
- Psychiatry Physician
- Belmont, MA
- NPI 1114979580
Single Specialty
-
dba Cape Cod and Islands Community Mental Health Center-IPD
- Psychiatric Hospital
- Pocasset, MA
- NPI 1851477491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1619312774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 BELMONT ST BLDG 5",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023015596",
"telephone_number": "774-826-2458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 BELMONT ST BLDG 5",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023015596",
"telephone_number": "774-826-2458"
}
],
"practiceLocations": [
{
"address_1": "169 Ashley Ave",
"address_2": "Room 202 Main Hospital MSC333",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294258905",
"country_code": "US",
"telephone_number": "843-792-5051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BACHE",
"first_name": "WILLIAM",
"middle_name": "KENDALL",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-02",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "272907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.