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

Benjamin Russell Bach, PA

Individual provider Physician Assistant · NPI 1346750064

Benjamin Russell Bach, PA is a Physician Assistant in Tyler, Texas. Qualified in 2017, 9 years ago. Practices with Neuromusculoskeletal Rehabilitation Medicine Consultant, a 4-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2017
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7062 Highlands Ln
Tyler, TX 75703-0590
Phone: (903) 483-1090
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA11467 (TX)

Record details

NPI number1346750064
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 8, 2017
Last updated in NPPESOctober 8, 2017
Mailing address13025 Prelude Dr, Frisco, TX 75035-2224

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Neuromusculoskeletal Rehabilitation Medicine Consultant — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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