Active NPI
Brenda Gayle Bachmann, P.A.
- Physician Assistant
- Elkhart, IN
National Provider Identifier
1750387668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10000514A
- Practice address
- 640 Industrial Pkwy
Elkhart, IN 46516-5414 - Phone
- (574) 522-7203
- Fax
- (574) 522-7405
- NPI assigned
- Jun 24, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10000514A | IN | Primary |
Addresses
Primary practice location
640 Industrial Pkwy
Elkhart, IN 46516-5414
Mailing address
640 Industrial Pkwy
Elkhart, IN 46516-5414
Phone (574) 522-7203
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00134721 | Other | IN | RAILROAD MEDICARE |
| 000000329042 | Other | IN | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10000514A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northen Indiana Health Center | Past | Accepting new patients | |
| Northern Indiana Health Center | Physician Assistant | Past | Accepting new patients |
| Northern Indiana Health Center | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- South Bend, IN
- NPI 1205846169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1750387668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 INDUSTRIAL PKWY",
"city": "ELKHART",
"state": "IN",
"postal_code": "465165414",
"telephone_number": "574-522-7203",
"fax_number": "574-522-7405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 INDUSTRIAL PKWY",
"city": "ELKHART",
"state": "IN",
"postal_code": "465165414",
"telephone_number": "574-522-7203",
"fax_number": "574-522-7405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHMANN",
"first_name": "BRENDA",
"middle_name": "GAYLE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10000514A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00134721",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "000000329042",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.