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

Matthew D Bach, PA-C

Individual provider Physician Assistant · NPI 1417426214

Matthew D Bach, PA-C is a Physician Assistant in Detroit, Michigan. Qualified in 2019, 7 years ago. Practices with Ieppc Urgent Care PLLC, a 19-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2799 W Grand Blvd # K12
Detroit, MI 48202-2689
Phone: (313) 916-2181
Show map & directions

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

Additional practice locations (2)

  • 24255 W 13 Mile Rd Ste 100, Bingham Farms, MI 48025-4345 — (419) 569-5794
  • 37000 Grand River Ave Ste 310, Farmington Hills, MI 48335-2868 — (248) 536-2127

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601008997 (MI)

Record details

NPI number1417426214
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 21, 2018
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ieppc Urgent Care Pllc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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