Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COLIN DAVID BASHAW DO
NPI 1255035713
Military Health Care Provider in Fort Bragg, NC

Active since March 29, 2023PECOS Enrolled
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310(910) 907-8922(910) 907-6069 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 24, 2026, Aug 18, 2023, Mar 29, 2023 (3 updates tracked since 2023).

About Colin David Bashaw Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLIN DAVID BASHAW DO (NPI 1255035713) is an individual military health care provider provider in Fort Bragg, North Carolina, licensed in Virginia (0102208908) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255035713
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameCOLIN DAVID BASHAWCredential: DO
Location Address2817 ROCK MERRITT AVEFort Bragg, NC 28310-0001
Mailing Address2817 Rock Merritt AveFort Bragg, NC 28310-0001 · (910) 907-8922 · Fax (910) 907-6069
Fax(910) 907-6069
Sole ProprietorNo
Enumeration DateMarch 29, 2023
Last NPPES UpdateAugust 24, 20263 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
NPI 1255035713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License Licensed in VA · 0102208908
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
2817 ROCK MERRITT AVE, Fort Bragg, NC 28310

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Colin David Bashaw Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Physical Therapist
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Physical Therapist (Sports)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Physical Therapist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Specialist/Technologist (Athletic Trainer)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Physician Assistant
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Physician Assistant
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Dentist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colin Bashaw's NPI number?

The NPI number for Colin Bashaw is 1255035713. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Colin Bashaw located?

Colin Bashaw practices at 2817 Rock Merritt Ave, Fort Bragg, NC 28310. The listed phone number is (910) 907-8922.

What is Colin Bashaw's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Is Colin Bashaw enrolled in Medicare?

Yes. Colin Bashaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Colin Bashaw was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.