Active NPI
Brian P, Bach D.P.M.
- Prosthetic/Orthotic Supplier
- Clinton, MD
National Provider Identifier
1720266745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- BRIAN P, BACH D.P.M.
- Practice address
- 9015 Woodyard Rd
Suite 211
Clinton, MD 20735-4209 - Phone
- (301) 868-0087
- NPI assigned
- Jan 31, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Phillip Bach, D.P.M.
- Title
- Physician
- Phone
- (301) 868-0087
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
9015 Woodyard Rd
Suite 211
Clinton, MD 20735-4209
Mailing address
9015 Woodyard Rd
Suite 211
Clinton, MD 20735-4209
Phone (301) 868-0087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380598100 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
9015 Woodyard Rd
Ste 211
Clinton, MD 20735
Phone (301) 868-0087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209600000000",
"number": "1720266745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9015 WOODYARD RD",
"address_2": "SUITE 211",
"city": "CLINTON",
"state": "MD",
"postal_code": "207354209",
"telephone_number": "301-868-0087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9015 WOODYARD RD",
"address_2": "SUITE 211",
"city": "CLINTON",
"state": "MD",
"postal_code": "207354209",
"telephone_number": "301-868-0087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN P, BACH D.P.M.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-31",
"last_updated": "2008-05-01",
"status": "A",
"authorized_official_last_name": "BACH",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "PHILLIP",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "301-868-0087",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "380598100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.