ROGER E BASSIN MD PA NPI 1588849780

NPI Information

  • NPI: 1588849780
  • Provider Name: ROGER E BASSIN MD PA
  • Classification: Plastic Surgery - 2082S0099X
  • Specialization: Plastic Surgery Within the Head and Neck
  • Entity Type: Organization
  • Other Name: BASSIN CENTER FOR EYELID AND FACIAL PLASTIC SURGERY
  • Address: 1705 BERGLUND LN
    SUITE 103
    VIERA, FL
    ZIP 32940
  • Phone: (321) 255-0025

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NPI Details

ROGER E BASSIN MD PA is a plastic surgery within the head and neck plastic surgery in Viera, FL. The provider is a plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. ROGER E BASSIN MD PA NPI is 1588849780. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Bassin Center For Eyelid And Facial Plastic Surgery.

The provider's business location address is:

1705 BERGLUND LN
SUITE 103
VIERA, FL
ZIP 32940-231
Phone: (321) 255-0025
Fax: (321) 255-0027

The provider's authorized official is Roger E Bassin .
The authorized official title is Owner/operator and has the following contact phone number (321) 255-0025.

The enumeration date for this NPI number is 1/7/2008 and was last updated on 7/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyME85585FLORIDANo
2208200000XPlastic SurgeryME85585FLORIDANo
32082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckME85585FLORIDAYes
42086S0122XSurgeryPlastic and Reconstructive SurgeryME85585FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AH792OTHERFLORIDAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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