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

Dr. Harold Mustapha Bacchus Jr., MD

Individual provider Family Medicine Physician · NPI 1881654523

Dr. Harold Mustapha Bacchus Jr., MD is a Family Medicine Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1719 Cremer Ave
Fort Wayne, IN 46818-1052
Phone: (260) 490-9150
Fax: (260) 490-9195
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 01034833 (IN)

Record details

NPI number1881654523
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2006
Last updated in NPPESDecember 20, 2009

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