ROY G BASSETT JR.

Address: 400 N Congress Ave, Suite 110, West Palm Beach, FL 33401-2912
Phone: 5616888917

ROY G BASSETT JR. (NPI# 1922113232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922113232
Entity Type 1 - Individual
Full Name ROY G BASSETT JR.
Credential M.D.
Practice Address 400 N Congress Ave
Suite 110
West Palm Beach
FL 33401-2912
Mailing Address 400 N.congress Ave.
Suite 110
West Palm Beach
FL 33401-2933
Practice Telephone 5616888917
Practice Fax Number 5616888987
Enumeration Date 08/20/2006
Last Update Date 04/03/2012
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
ME66781 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 254801100 05

Office Location

Street Address 400 N CONGRESS AVE
SUITE 110
City WEST PALM BEACH
State FL
Zip Code 33401-2912

Providers with the same location

NPI Name Address
1780830976 COACH COMP AMERICA LLC 400 N Congress Ave, Suite 110, West Palm Beach, FL 33401-2912

Competitor

Search similar physicians

City WEST PALM BEACH
Zip Code 33401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.