DR. HAROLD MUSTAPHA BACCHUS JR. MD
NPI 1881654523
Family Medicine in Fort Wayne, IN

Q: What is Harold Bacchus's NPI number?

The NPI number for Harold Bacchus is 1881654523. It was assigned to this individual provider in the NPPES registry on March 25, 2006.

Q: What is Harold Bacchus's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Harold Bacchus was last updated on December 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 25, 2006

1719 CREMER AVE, FORT WAYNE, IN 46818(260) 490-9150(260) 490-9195 Get Directions Write a Review

NPPES record last updated: December 20, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Harold Mustapha Bacchus Jr. Md NPPES

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

DR. HAROLD MUSTAPHA BACCHUS JR. MD (NPI 1881654523) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01034833) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1881654523

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. HAROLD MUSTAPHA BACCHUS JR.Credential: MD

Location Address1719 CREMER AVEFort Wayne, IN 46818-1052

Mailing Address12002 Woodbourne CtFt Wayne, IN 46845-1952 · (260) 637-5303 · Fax (260) 490-9195

Phone(260) 490-9150

Fax(260) 490-9195

Sole ProprietorNo

Enumeration DateMarch 25, 2006

Last NPPES UpdateDecember 20, 2009

✔ NPI 1881654523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01034833

Definition

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.

1719 CREMER AVE, Fort Wayne, IN 46818

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Other Identifiers 3

Other000000634416IN · Anthem

Medicare PIN070860E3IN

Medicaid200027190IN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harold Bacchus's NPI number?

The NPI number for Harold Bacchus is 1881654523. It was assigned to this individual provider in the NPPES registry on March 25, 2006.

Where is Harold Bacchus located?

Harold Bacchus practices at 1719 Cremer Ave, Fort Wayne, IN 46818. The listed phone number is (260) 490-9150.

What is Harold Bacchus's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Harold Bacchus was last updated on December 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.