HomeNPI Verification

NPI Verification

National Provider Identifier: 1184594962

Basil Fossum MD PA

Organization

Primary Specialty

Urology

Code: 208800000X

Practice Address

914B MAR WALT DR

FORT WALTON BEACH, FL 325476706

Phone: 850-862-2555

NPI Enumeration Date

November 7, 2025

NPI Number

1184594962

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry