Individual
ALEXANDER FRANCISCO BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 HUNTER STATION WAY, SELLERSBURG, IN 47172-8930
(812) 283-2369
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 558-8949
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01074052A
IN
207L00000X
Anesthesiology Physician
52172
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
01074052A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
31063
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01074052A
STATE LICENSE
IN
05
—
300022245
—
IN
01
—
52172
LICENSE
KY
05
—
7100166170
—
KY
01
—
K277960
MEDICARE
KY
Enumeration date
03/17/2009
Last updated
03/05/2026
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