Alban B Bacchus MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0054352 Issued in FL

Legal business name

ALBAN B BACCHUS MD INC

Practice address

2889 10TH Avenue North
Suite 301
Lake Worth, FL 33461-3045

Phone

(561) 966-2303

Fax

(561) 966-0714

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Alban Berkley Bacchus, MDNPI 1710176474

Title

Physician

Phone

(561) 966-2303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alban Berkley Bacchus, M.D.

  • Internal Medicine Physician
  • Palm Springs, FL
  • NPI 1710176474

  FL, Internal Medicine

  Medicare reassignment NPD Authorized official
• Kenan Abbasi, MD

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1619472321

  Internal Medicine

  NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962412973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2889 10TH AVENUE NORTH",
            "address_2": "SUITE 301",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613045",
            "telephone_number": "561-966-2303",
            "fax_number": "561-966-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2889 10TH AVENUE NORTH",
            "address_2": "SUITE 301",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613045",
            "telephone_number": "561-966-2303",
            "fax_number": "561-966-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBAN B BACCHUS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BACCHUS",
        "authorized_official_first_name": "ALBAN",
        "authorized_official_middle_name": "BERKLEY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "561-966-2303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0054352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farooq Ahmed, M.D.
• Nancy A Ahringer, A.R.N.P.
• AIDS Healthcare Foundation
• Benjamin Akerstrom
• Vitaly Jaime Alalu, MD
• Julio C Albernal
• Ana Alberto
• Albertsons LLC
• Albertsons LLC
• Amanda Monteiro Albuquerque

• All providers in Lake Worth, FL
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.