BASIL FOSSUM MD PA
NPI 1184594962
Urology in Fort Walton Beach, FL
NPI Status: Active since November 07, 2025
Contact Information
914B MAR WALT DR
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 862-2555
Fax: (850) 862-8564
- Organization
- Urology
About BASIL FOSSUM MD PA
This page provides the complete NPI Profile along with additional information for Basil Fossum Md Pa, a provider established in Fort Walton Beach, Florida operating as a Urology. The healthcare provider is registered in the NPI registry with number 1184594962 assigned on November 2025. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated April 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jennifer Lord (Office Manager)
- NPI
- 1184594962
- Provider Name
- BASIL FOSSUM MD PA
- Entity Type
- Organization
- Location Address
- 914B MAR WALT DR FORT WALTON BEACH, FL 32547
- Location Phone
- (850) 862-2555
- Location Fax
- (850) 862-8564
- Mailing Address
- 914B MAR WALT DR FORT WALTON BEACH, FL 32547
- Mailing Phone
- (850) 862-2555
- Mailing Fax
- (850) 862-8564
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-07-2025
- Last Update Date
- 04-20-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1184594962, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184594962, enumerated as an "organization" on November 07, 2025.
The provider is located at 914B MAR WALT DR FORT WALTON BEACH, FL 32547 and the phone number is (850) 862-2555.
Urology with taxonomy code 208800000X.
