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

Dr. Odezza Agustin Bautista, MD

Individual provider Psychiatry Physician · NPI 1346455763

Dr. Odezza Agustin Bautista, MD is a Psychiatry in Norristown, Pennsylvania. Qualified in 2007, 19 years ago. Practices with Pennsylvania Department of Human Services, a 34-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
19
Licensed in
PA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

50 Beech Dr
Norristown, PA 19403-5421
Phone: (610) 279-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD432919 (PA)

Record details

NPI number1346455763
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 10, 2007
Last updated in NPPESMarch 26, 2010
Mailing address50 Beech Dr, Norristown, PA 19403-5421

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Pennsylvania Department Of Human Services — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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