Active NPI
Larry R Bachle DO Facoep PA
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Punta Gorda, FL
National Provider Identifier
1811947302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- License
- OS6291
- Legal business name
- LARRY R BACHLE DO FACOEP PA
- Practice address
- 25097 Olympia Ave
Suite 107
Punta Gorda, FL 33950-3903 - Phone
- (941) 205-2620
- Fax
- (941) 205-2630
- NPI assigned
- May 12, 2006
- 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
- Dr. Larry R Bachle, DO FACOEP
- Title
- Physician
- Phone
- (941) 764-9560
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | OS6291 | FL | Primary |
Addresses
Primary practice location
25097 Olympia Ave
Suite 107
Punta Gorda, FL 33950-3903
Mailing address
PO Box 510669
Punta Gorda, FL 33951-0669
Phone (941) 764-9560
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37095230 | Medicaid | FL | |
| P00316034 | Other | FL | RR MEDICARE |
| DE7887 | Other | FL | RR MEDICARE GRP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
24451 Sandhill Blvd
#A
Punta Gorda, FL 33983
Phone (941) 629-3435
25097 Olympia Ave
Ste 107
Punta Gorda, FL 33950
Phone (941) 205-2620
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Punta Gorda, FL
- NPI 1114978343
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Huntsville, AL
- NPI 1538118815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365984000000",
"number": "1811947302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 510669",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339510669",
"telephone_number": "941-764-9560",
"fax_number": "941-205-2630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25097 OLYMPIA AVE",
"address_2": "SUITE 107",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339503903",
"telephone_number": "941-205-2620",
"fax_number": "941-205-2630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARRY R BACHLE DO FACOEP PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2013-04-15",
"status": "A",
"authorized_official_last_name": "BACHLE",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "941-764-9560",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO FACOEP"
},
"taxonomies": [
{
"code": "207PE0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "FL",
"license": "OS6291",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37095230",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00316034",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GRP #",
"identifier": "DE7887",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.