Individual
DR. GREGORY HARRIS BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2010 59TH ST W STE 2200, BRADENTON, FL 34209-4689
(941) 794-5621
Mailing address
2020 59TH ST W STE 2200, BRADENTON, FL 34209-4604
(941) 794-5621
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME150196
FL
2086S0127X
Trauma Surgery Physician
ME150196
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115062800
—
FL
01
—
6F3Y4
BCBS
FL
Enumeration date
04/18/2017
Last updated
11/17/2023
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