Individual
MR. BRANDON JOHN BACHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2434
(570) 271-6301
(570) 271-5976
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MD465442
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD465442
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103321700
—
PA
Enumeration date
04/18/2013
Last updated
10/18/2021
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