Bruce Kenneth Bacot

M.D. | Pediatric Pulmonology | Male

---

Complete Profile:

Bruce Kenneth Bacot basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Pulmonology
Provider Name :	Bruce Kenneth Bacot
Credential :	M.D.
Gender :	Male

Business Address:

Bruce Kenneth Bacot address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	11 Vanderbilt Park Dr Asheville, NC, 28803-1700 United States
Phone Number :	828-213-1740
Fax Number :	828-213-1742

Professional Identification Codes:

NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.

NPI Number :	1568442242
NPI Entity Type :	Individual
First Enrolment Date :	19 Jan, 2006
Last Updated On :	16 May, 2011

Medicare Participation:

Bruce Kenneth Bacot participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3476518416
Medicare Enrollment ID :	I20041201000423
Primary Specialty :	Pediatric Medicine
Medical School :	Baylor College Of Medicine
Graduation Year :	1983
Accepts Medicare?	Yes. Bruce Kenneth Bacot accepts medicare insurance.

Group Practice Association:

Bruce Kenneth Bacot is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Bruce Kenneth Bacot is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Mission Health Community Multispecialty Providers Llc	9537468574	554	509 Biltmore Ave Asheville, NC - 288014601 Ph: 8282132325	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bruce Kenneth Bacot are as mentioned. Primary taxonomy code for Bruce Kenneth Bacot, M.D. is 2080P0214X (Pediatrics Pediatric Pulmonology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0201X	Pediatrics Pediatric Allergy/Immunology	No	9701689	NC
2080P0214X	Pediatrics Pediatric Pulmonology	Yes	9701689	NC

Legacy Identifiers:

Other legacy medical identifiers of Bruce Kenneth Bacot such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
89127MM	MEDICAID	NC

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 15268 Asheville, NC, 28813-0268 United States
Phone Number :	828-250-2833
Fax Number :	828-665-8275

Business Location:

Patients can refer following map for directions to Bruce Kenneth Bacot practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.