Provider Demographics
NPI:1528039401
Name:BACHMAN, DAVID M (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:BACHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 21ST ST NW STE M400
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-3336
Mailing Address - Country:US
Mailing Address - Phone:202-296-4901
Mailing Address - Fax:202-293-3409
Practice Address - Street 1:1155 21ST ST NW STE M400
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-3336
Practice Address - Country:US
Practice Address - Phone:202-296-4901
Practice Address - Fax:202-293-3409
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD12880207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
16170OtherPRINCIPAL HEALTH CARE
DCCS8801883OtherCONT. SUBST. LICENSE
MDM17754OtherSTATE CONT. SUBST. LICENS
4226658OtherAETNA PROVIDER NO
65440001OtherCAREFIRST PROV. NO.
234832OtherALLIANCE-MAMSI PROV. NO.
488108OtherHEALTH LINK (NCPPO)
MDD0028232OtherMEDICAL LICENSE
DCMD12880OtherMEDICAL LICENSE
P00168040OtherRAILROAD MEDICARE
P00168040OtherRAILROAD MEDICARE
DCCS8801883OtherCONT. SUBST. LICENSE
DCMD12880OtherMEDICAL LICENSE