Organization Profile
Basil D. Fossum, m.d. PA is an organization based in Fort Walton Beach, FL and listed in the NPI registry under urology. This provider record is associated with NPI 1154911527.
Factual summary compiled by Guide.md from public records; not written by this provider.
From registry street addresses: providers filed at this building, which can include unrelated practices sharing it.
914 MAR WALT DR STE B
Fort Walton Beach, FL 32547
Basil D. Fossum, m.d. PA is an urologist in Fort Walton Beach, FL. That is the designation recorded for this NPI in the federal registry, where it is listed as “Urology”.
NPI registry
Basil D. Fossum, m.d. PA is listed at 914 Mar Walt Dr Ste B, Fort Walton Beach, FL 32547. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (850) 226-6572. Contact the office directly to confirm availability and scheduling.
NPI registry
Basil D. Fossum, m.d. PA's National Provider Identifier is 1154911527. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Not yet. This profile is built from public federal data and has not been confirmed by Basil D. Fossum, m.d. PA. If this is you, claiming it is free.
Guide.md
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