Harold Lee Bacheldor Jr., DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101009734 Issued in MI

Practice address

4014 River Rd
Building 6
East China, MI 48054-2916

Phone

(810) 329-6677

Fax

(810) 329-7780

NPI assigned

Sep 29, 2005

Last updated

Jul 22, 2015By 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 1

Addresses

Other names 1

• H. Lee Bacheldor Jr. Other name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Henry Ford Health River District Hospital

  dba Henry Ford River District Hospital

  • Family Medicine Physician
  • East China, MI
  • NPI 1265486245
  Medicare reassignment NPD
• Henry Ford Health River District Hospital

  • General Acute Care Hospital
  • East China, MI
  • NPI 1619941333
  NPD

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1831186550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 RIVER RD",
            "address_2": "BUILDING 6",
            "city": "EAST CHINA",
            "state": "MI",
            "postal_code": "480542916",
            "telephone_number": "810-329-6677",
            "fax_number": "810-329-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 RIVER RD",
            "address_2": "BUILDING 6",
            "city": "EAST CHINA",
            "state": "MI",
            "postal_code": "480542916",
            "telephone_number": "810-329-6677",
            "fax_number": "810-329-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHELDOR",
        "first_name": "HAROLD",
        "middle_name": "LEE",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "H.",
            "last_name": "BACHELDOR",
            "middle_name": "LEE",
            "suffix": "JR.",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sabbir Ahmed, M.D.
• Lindsey Andrzejewski
• Ascension Medical Group Michigan (Henry Ford Semi Medical Group)
• Associated Retinal Consultants, PC
• Edward Michael Balok, M.D.
• Michele Bartlett
• Robyne Beecham
• Alan David Berg, M.D.
• Richard D Burns, CRNA

• Family Medicine Physician in East China, MI
• Providers in East China, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.