National Provider Identifier Database

BACCHUS PC
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.


Contact Information

BACCHUS PC
880 SEVEN HILLS DR STE 140
HENDERSON, NV89052-4372
Phone: 702-844-4840
Fax: 702-844-4843
Website:
Specialty Taxonomy Code
* Family Medicine 207Q00000X
General Practice 208D00000X
Internal Medicine 207R00000X
Nurse Practitioner 363L00000X
Physician Assistant 363A00000X
Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for BACCHUS PC

NPI Number 1134628480
Legal business name
LBN
BACCHUS PC
Authorized official BEVERLY DENDARY - (CREDENTIALING MANAGER)
Entity Organization
Organization subpart No
Enumeration date 02/01/2018
Last updated 04/01/2026 - About 2 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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