Bacchus PC
NPI 1134628480 · Family Medicine Physician · Henderson, NV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bacchus PC is a Family Medicine Physician organization in Henderson, NV (NPI 1134628480).
Provider details
- NPI number
- 1134628480
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Beverly Dendary, Credentialing Manager(702) 910-3950
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- P3 Health Partners Medical Group
Additional practice locations (5)
- 2831 Business Park Ct Ste aLas Vegas, NV 89128-9000Phone: (702) 844-4848Fax: (702) 844-4849
- 348 N Nellis Blvd Ste FLas Vegas, NV 89110-5313Phone: (702) 910-3950
- 9280 W Sunset Rd Ste 200Las Vegas, NV 89148-4861Phone: (702) 844-4846Fax: (702) 844-4847
- 340 Falcon Ridge Pkwy Ste 201Mesquite, NV 89027-8851Phone: (702) 979-5966Fax: (775) 231-8003
- 360 S Lola Ln Bldg BPahrump, NV 89048-0884Phone: (775) 505-0810Fax: (775) 505-0811
Registry dates
- Enumerated
- 2018-02-01
- Last updated
- 2026-04-01
- Certified
- 2026-04-01
Frequently asked questions
- What is Bacchus PC's NPI number?
- Bacchus PC's National Provider Identifier (NPI) is 1134628480, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bacchus PC?
- Bacchus PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Bacchus PC located?
- Bacchus PC's practice location on file with NPPES is 880 Seven Hills Dr Ste 140, Henderson, NV 89052-4372.
- What is Bacchus PC's phone number?
- The practice phone number listed in the NPPES registry for Bacchus PC is (702) 844-4840.
- Does Bacchus PC accept Medicare?
- Bacchus PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bacchus PC?
- The authorized official listed on Bacchus PC's NPPES record is Beverly Dendary, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bacchus PC's NPI active?
- Yes — Bacchus PC's NPI (1134628480) is active in the NPPES registry as of the last update on 2026-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.