Provider Demographics
NPI:1265429252
Name:BACHNER, ROBERT S (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:BACHNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6265 HARROW TRCE
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-1329
Mailing Address - Country:US
Mailing Address - Phone:404-784-4467
Mailing Address - Fax:844-891-3506
Practice Address - Street 1:6265 HARROW TRCE
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-1329
Practice Address - Country:US
Practice Address - Phone:404-784-4467
Practice Address - Fax:844-891-3506
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA36918174400000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00571084AMedicaid
GA00571084AMedicaid
GAF26358Medicare UPIN