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

Michele Roullet Bak, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1689731515

Michele Roullet Bak, MD is a Pathology in Norfolk, Virginia. Graduated from Eastern Virginia Medical School in 2003, 23 years ago. Practices with Pathology Sciences Medical Group PC, a 26-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
23
Trained at
Eastern Virginia Medical School
Licensed in
VA
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

600 Gresham Dr Dept OF Pathology
Norfolk, VA 23507-1904
Phone: (757) 388-3221
Fax: (757) 388-3799
Show map & directions

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

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 0101243457 (VA)

Record details

NPI number1689731515
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 2, 2007
Last updated in NPPESAugust 16, 2017
Mailing addressPo Box 20452, Psmg-Credentialing, Columbus, OH 43220-0452

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2003 (23 years in practice)
Group practice Pathology Sciences Medical Group Pc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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