Look up the most recent NPI and PECOS records

Bachar Hazim

Physical Medicine & Rehabilitation

Allopathic & Osteopathic Physicians

221 Michigan St NE Ste 400, Grand Rapids, MI 49503-2538

PECOS Enrollment

This provider is enrolled in PECOS as BACHAR SALEM HAZIM.

Based on the most recent information from CMS, provider Bachar Hazim is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1588237762
Provider Type
Individual
Full Name
Hazim, Bachar
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/23/2021
Last Updated
6/27/2025

Contact Information

Practice Location

221 Michigan St NE Ste 400, Grand Rapids, MI 49503-2538

(616) 486-9600

Unlisted Fax

Mailing Location

100 Michigan St NE # Mc845, Grand Rapids, MI 49503-2560

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208100000X Primary	Description Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians	License 4351047592 Michigan

Bachar Hazim

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Smith, Meagan Ann

Jost, Kristen

Hordt, Thomas

Spaulding, Elizabeth L

Polakowski, Nicholas James

Struble, Taylor J

Rizik, Bridget Ann

Bruinsma, Benjamin J

Wang, Ralph

Mary Free Bed Rehabilitation Hospital