Basil Fossum

Individual Active
NPI 1821043811
Urology Physician Fort Walton Beach, FL

Basil Fossum is an urology physician practicing in Fort Walton Beach, FL. The NPI was issued on May 24, 2006, and the record was last updated in NPPES on January 5, 2026. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X ME53505 (FL)
Specialist 174400000X ME53505 (FL)

Practice location

914B Mar Walt Dr
Fort Walton Beach, FL 32547-6706
Phone: (850) 226-6572

Local context

Active NPPES records list 27 providers with urology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 19 of them within 10 miles.

The same primary taxonomy is listed by 1,544 in Florida and 19,304 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Basil D. Fossum
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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