BRENDA GAYLE BACHMANN (NPI# 1750387668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750387668 |
| Entity Type | Individual |
| Full Name | BRENDA GAYLE BACHMANN |
| Credential | P.A. |
| Practice Address |
640 Industrial Pkwy Elkhart IN 46516-5414 |
| Practice Telephone | 5745227203 |
| Practice Fax Number | 5745227405 |
| Mailing Telephone | 5745227203 |
| Mailing Fax Number | 5745227405 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10000514A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BLUE CROSS/BLUE SHIELD | 000000329042 | 01 |
| IN | RAILROAD MEDICARE | P00134721 | 01 |
| Street Address |
640 INDUSTRIAL PKWY |
| City | ELKHART |
| State | IN |
| Zip Code | 46516-5414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326058967 | Nexus Medicus, Inc. | Durable Medical Equipment & Medical Supplies | 640 Industrial Pkwy, Elkhart, IN 46516-5414 | 2006-08-08 |
| 1316955644 | Nexus Medicus, Inc | Physical Therapist | 640 Industrial Pkwy, Elkhart, IN 46516-5414 | 2006-08-03 |
| 1508863846 | Northern Indiana Health Center | Family Medicine | 640 Industrial Pkwy, Elkhart, IN 46516-5414 | 2005-07-01 |
| 1275539181 | Steven Frederick Poirier | Chiropractor | 640 Industrial Pkwy, Elkhart, IN 46516-5414 | 2005-06-24 |
| 1295731115 | Walter Ward Golden | Physical Therapist | 640 Industrial Pkwy, Elkhart, IN 46516-5414 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558974675 | Courtney Rae Lawson | Nurse Practitioner | 1178 Fremont Ct., Elkhart, IN 46516 | 2020-08-28 |
| 1932690955 | Lisa Cooper | Counselor | 529 S 2nd St, Elkhart, IN 46516 | 2018-05-24 |
| 1780183558 | Evolve Chiropractic, LLC | Chiropractor | 5301 Beck Dr. Suite 3, Elkhart, IN 46516 | 2018-02-07 |
| 1790215168 | Cutting Edge Integrative Pain Centers LLC | Internal Medicine | 242 Waterfall Dr Ste B, Elkhart, IN 46516 | 2017-06-18 |
| 1831448745 | Planned Parenthood of Indiana Elkhart | Clinic/Center | 505 S. Third St., Suite 160, Elkhart, IN 46516 | 2012-09-06 |
| 1588920128 | Physical Therapy Professionals PC | Clinic/Center | 932 Parkway Ave, Ste. B, Elkhart, IN 46516 | 2012-04-09 |
| 1821369091 | Marek Serwatka | Physical Therapist | 932 Parkway Ave Ste B, Elkhart, IN 46516 | 2012-01-19 |
| 1538459904 | Rose M. Mwania | Nurse Anesthetist, Certified Registered | 1004 Parkway Ave Ste A, Elkhart, IN 46516 | 2011-04-19 |
| 1487894838 | Jack Alan Turnock | Dentist | 330 West Lexington Ave, Suite 201, Elkhart, IN 46516 | 2009-02-25 |
| 1225207285 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 30830 Old Us 33, Elkhart, IN 46516 | 2008-02-25 |
| Find all providers in zip 46516 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861640674 | Haley R Mccammon | Physician Assistant | 411 Sunset St, Elkhart, KS 67950-5001 | 2008-09-04 |
| 1124115795 | Judith Lynn Smith | Physician Assistant | 22818 Old Us 20, Community Occupational Medicine, Elkhart, IN 46516 | 2006-10-06 |
| 1093779969 | Joel Wade Howell | Physician Assistant | 313 W Parker St, Elkhart, TX 75839 | 2006-04-17 |
| 1497362636 | Sarah Nicole Kosinski | Physician Assistant | 111 N Nappanee St, Elkhart, IN 46514-1957 | 2020-09-30 |
| 1063066108 | Anthony Houston II | Physician Assistant | 600 East Blvd, Elkhart, IN 46514-2483 | 2019-07-26 |
| 1578082582 | Mary Frances Bacsik | Physician Assistant | 500 Arcade Ave Ste 230, Elkhart, IN 46514-2485 | 2017-09-12 |
| 1235536939 | Eric Daniel Roberts | Physician Assistant | 111 N Nappanee St, Elkhart, IN 46514 | 2014-11-24 |
| 1447406426 | Thomas P. Moretti | Physician Assistant | 500 Arcade Ave, Suite 400, Elkhart, IN 46514-2477 | 2008-08-11 |
| 1922103977 | Jacynda Leigh Lavanture | Physician Assistant | 500 Arcade Ave, Suite 400, Elkhart, IN 46514-2477 | 2006-09-14 |
| 1932102605 | Christy P Lee | Physician Assistant | 303 S Nappanee St, Elkhart, IN 46514-2066 | 2005-05-24 |
| Find all providers in ELKHART | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.