NICKLAS BARA MD
NPI 1003750639
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Nicklas Bara's NPI number?

The NPI number for Nicklas Bara is 1003750639. It was assigned to this individual provider in the NPPES registry on April 15, 2026.

Q: What is Nicklas Bara's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nicklas Bara was last updated on April 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 15, 2026PECOS Enrolled

6071 W OUTER DR, DETROIT, MI 48235(313) 966-3300 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Nicklas Bara Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICKLAS BARA MD (NPI 1003750639) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003750639

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNICKLAS BARACredential: MD

Location Address6071 W OUTER DRDetroit, MI 48235-2624

Mailing Address4201 Saint Antoine St # 9cDetroit, MI 48201-2153 · (313) 745-5146

Phone(313) 966-3300

Sole ProprietorNo

Enumeration DateApril 15, 2026

NPPES CertifiedApril 15, 2026

✔ NPI 1003750639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

6071 W OUTER DR, Detroit, MI 48235

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicklas Bara Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.