Provider Demographics
NPI:1598861809
Name:BACHMANN, BRAD J (DPM)
Entity Type:Individual
Prefix:DR
First Name:BRAD
Middle Name:J
Last Name:BACHMANN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8681 LOUETTA RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-6681
Mailing Address - Country:US
Mailing Address - Phone:281-370-0648
Mailing Address - Fax:281-251-3350
Practice Address - Street 1:8681 LOUETTA RD
Practice Address - Street 2:SUITE 150
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-6681
Practice Address - Country:US
Practice Address - Phone:281-370-0648
Practice Address - Fax:281-251-3350
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1010213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX018657901Medicaid
TX018657901Medicaid
TX8F23772Medicare PIN