NPI 1689680134 · live from the CMS NPI Registry
Paul Benjamin Bascom, MD
Internal Medicine, Hospice and Palliative Medicine in Gold Beach, OR. National Provider Identifier 1689680134, active.
NPI record
| NPI | 1689680134 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Hospice and Palliative Medicine 207RH0002X |
| Practice location | 94220 4th St, Gold Beach, OR 97444 |
| Practice phone | 702-453-3799 |
| Mailing address | 2660 Crimson Canyon Dr Ste 130, Las Vegas, NV 89128 |
| Enumerated | August 1, 2006 |
| Last updated | August 9, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Hospice and Palliative Medicine primary | 207RH0002X | G061983 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.