Dr. Elliott Bader , MD
Specialist • Desoto, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Elliott Bader has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Elliott Bader, MD was a registered Specialist practicing in Desoto, TX. Throughout an active medical career spanning 11 years, Dr. Bader provided care at the practice location at 2727 BOLTON BOONE DR until profile deactivation on 2018-10-22.
Practice Location & Contact Primary Location
2727 Bolton Boone Dr
Suite 108
Desoto, TX 751152019
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Desoto, TX
Practicing in Desoto, TX (2033 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Internal Medicine
Doctor of Medicine (M.D.)
Chiropractor
Doctor of Chiropractic
Internal Medicine - Infectious Disease
Doctor of Medicine (M.D.)
Dentist - Orthodontics and Dentofacial Orthopedics
Doctor of Dental Surgery, Master of Science
Nurse Practitioner - Family
Nurse Practitioner - Gerontology
Advanced Practice Registered Nurse, Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 22, 2018
NPI status registered as active in NPPES database
Registered at 2727 BOLTON BOONE DR, SUITE 108, DESOTO, TX 751152019 (Tel: 9722302531)
Registered at 2727 BOLTON BOONE DR, SUITE 108, DESOTO, TX 751152019 (Tel: 9725723400)
Recorded as ELLIOTT BADER, MD
Specialist (License #F1029 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2727 Bolton Boone Dr, Suite 108
Desoto, TX 751152019
Phone: 9725723400
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