Kevin E Bachus, MD

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

27514 Issued in CO

Practice address

1080 E Elizabeth St
Fort Collins, CO 80524-3953

Phone

(970) 493-6353

Fax

(970) 493-6366

NPI assigned

Jul 7, 2005

Last updated

Jan 14, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1689671539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 E ELIZABETH ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243953",
            "telephone_number": "970-493-6353",
            "fax_number": "970-493-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 E ELIZABETH ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243953",
            "telephone_number": "970-493-6353",
            "fax_number": "970-493-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHUS",
        "first_name": "KEVIN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CO",
            "license": "27514",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CO",
            "license": "27514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01275148",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "27514",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ernie Stanley Baca, MS
• Sara Ann Baca
• Bree Anders Bacalis, NP
• Paul R. Bacalis
• Andrew Bachman, M.D.
• John Felix Backes
• Belinda Backous
• Jennifer Suzanne Bacon, PTA
• Dianne M Bacorn, LPC, LAC
• Marlene A Baczek, ACUPUNCTURIST, MT

• Reproductive Endocrinology Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Reproductive Endocrinology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.