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BASIL D FOSSUM MD
NPI 1427339399
Urology in Fort Walton Beach, FL

Active since September 06, 2011
914 MAR WALT DR, SUITE B, FORT WALTON BEACH, FL 32547(850) 226-6572(850) 862-8564 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2020, Jul 12, 2019 (2 updates tracked since 2019).

About Basil D Fossum Md NPPES

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

BASIL D FOSSUM MD (NPI 1427339399) is a healthcare organization registered as an urology in Fort Walton Beach, Florida and active in the NPI registry since September 2011. The organization lists Dan Collins, President, as its authorized official.

NPPES Registry Identity

NPI1427339399
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGENESISCARE USA OF FLORIDA LLC
Location Address914 MAR WALT DR, SUITE BFort Walton Beach, FL 32547-6706
Mailing Address2160 Colonial BlvdFort Myers, FL 33907-1410 · (239) 931-7342 · Fax (239) 931-7385
Phone(850) 226-6572
Fax(850) 862-8564
Organization SubpartYesParent: Genesiscare Usa Inc.
Authorized OfficialDan CollinsPresident · (239) 931-7275
Enumeration DateSeptember 6, 2011
Last NPPES UpdateAugust 24, 20202 updates tracked since enumeration
NPPES CertifiedAugust 24, 2020
✔ NPI 1427339399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
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.
914 MAR WALT DR, Fort Walton Beach, FL 32547
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Other Names 1

Doing Business AsBasil D Fossum Md

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 Genesiscare Usa Of Florida LLC's NPI number?

The NPI number for Genesiscare Usa Of Florida LLC is 1427339399. It was assigned to this organization in the NPPES registry on September 6, 2011. The provider is doing business as Basil D Fossum MD.

Where is Genesiscare Usa Of Florida LLC located?

Genesiscare Usa Of Florida LLC is located at 914 Mar Walt Dr Suite B, Fort Walton Beach, FL 32547. The listed phone number is (850) 226-6572.

What is Genesiscare Usa Of Florida LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

What insurance does Genesiscare Usa Of Florida LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Genesiscare Usa Of Florida LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Genesiscare Usa Of Florida LLC was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.