ROGER E BASSIN M.D. NPI 1821121237

NPI Information

  • NPI: 1821121237
  • Provider Name: ROGER E BASSIN, M.D.
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 10D2006083
  • Address: 1705 BERGLUND LN
    SUITE 103
    VIERA, FL
    ZIP 32940
  • Phone: (321) 255-0025

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NPI Details

Roger E Bassin, M.D. is a plastic surgery in Viera, FL. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. Roger E Bassin, M.D. NPI is 1821121237. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1705 BERGLUND LN
SUITE 103
VIERA, FL
ZIP 32940-231
Phone: (321) 255-0025
Fax: (321) 255-0027

The NPI 1821121237 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 10D2006083 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 7/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyME85585FLORIDANo
2208200000XPlastic SurgeryME85585FLORIDAYes
32082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckME85585FLORIDANo
42086S0122XSurgeryPlastic and Reconstructive SurgeryME85585FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
151442YOTHERFLORIDAPTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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