Provider Demographics
NPI:1811930571
Name:BACHRACH, ALAN F (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:F
Last Name:BACHRACH
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1226
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37065-1226
Mailing Address - Country:US
Mailing Address - Phone:615-503-9000
Mailing Address - Fax:615-435-0549
Practice Address - Street 1:271 MED PARK DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-6310
Practice Address - Country:US
Practice Address - Phone:931-647-5747
Practice Address - Fax:931-647-5955
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0195642084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNE92305Medicare UPIN