Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alvin C Bacon, DO

Individual provider Family Medicine Physician · NPI 1104836568

Alvin C Bacon, DO is a Family Practice in North Smithfield, Rhode Island. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 1991, 35 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
35
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
RI
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

598 Great Rd Lowr Level
North Smithfield, RI 02896-6810
Phone: (401) 534-6784
Fax: (401) 534-5460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO 00461 (RI)

Record details

NPI number1104836568
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 9, 2006
Last updated in NPPESMarch 7, 2012
Mailing address33 Chambly Ave, Warwick, RI 02888-1805

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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