Dr. Terrell Bacchus, MD
Family Medicine in Jacksonville, Florida
1609189901- Practice location
- 9422 Arlington Expy, Jacksonville, FL 32225-8231
- Phone
- 904-559-1844
- Fax
- —
- Last updated
- November 21, 2023
Terrell Bacchus is a Family Medicine based in Jacksonville, FL. Terrell Bacchus practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Terrell Bacchus is 1609189901 and holds a License No. 70039 (GA). The current practice location address for Terrell Bacchus is 9422 Arlington Expy, Jacksonville, FL 32225-8231 and can be reached out via phone at 904-559-1844.
Provider Profile Details
- NPI Number
- 1609189901
- Provider Name
- Terrell Bacchus
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 9422 Arlington Expy, Jacksonville, FL 32225-8231
- Phone Number
- 904-559-1844
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 15, 2010
- Last Update Date
- November 21, 2023
- Certification Date
- November 14, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9422 Arlington Expy
Jacksonville, FL 32225-8231 - City
- Jacksonville
- State
- Florida
- Zip
- 32225-8231
- Phone Number
- 904-559-1844
Provider Business Mailing Address Details
- Address
- 2124 Candler RD
Decatur, GA 30032-5572 - City
- Decatur
- State
- GA
- Zip
- 30032-5572
- Phone Number
- 404-836-0272
License Information
- License Number (1)
- 70039
- License State (1)
- GA
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 24746
- License State (2)
- NH
- Taxonomy (2)
- Family Medicine · 207Q00000X
- License Number (3)
- ME136868
- License State (3)
- FL
- Taxonomy (3)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Terrell Bacchus, MD?
The NPI number of Dr. Terrell Bacchus, MD is 1609189901. It was assigned on July 15, 2010 and is currently active in the NPPES registry.
What is the specialty of Dr. Terrell Bacchus, MD?
Dr. Terrell Bacchus, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in GA under license number 70039.
Where does Dr. Terrell Bacchus, MD practice?
The practice location is 9422 Arlington Expy, Jacksonville, FL 32225-8231. The office can be reached at 904-559-1844 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609189901 directly on the NPPES registry website.