Individual
BERT E BACHRACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 HOSPITAL DRIVE, COLUMBIA, MO 65212-0001
(573) 882-6921
(573) 884-8823
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2003017173
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182938
BLUE SHIELD
MO
05
—
209233907
—
MO
01
—
3300196
UNITED HEALTH CARE
MO
01
—
620961
HEALTHLINK
MO
Enumeration date
05/28/2006
Last updated
10/24/2013
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