ALEXANDER GABRIEL BASSUK MD PHD NPI 1679549737

NPI Information

NPI: 1679549737
Provider Name: ALEXANDER GABRIEL BASSUK, MD PHD
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

PECOS Registration: Yes

Address:
200 HAWKINS DR
IOWA CITY, IA
ZIP 52242
Phone: (319) 356-1851
Get Directions

Alexander Gabriel Bassuk, MD PHD is a neurology with special qualifications in child neurology psychiatry neurology in Iowa City, IA. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Alexander Gabriel Bassuk, MD PHD NPI is 1679549737. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 HAWKINS DR
IOWA CITY, IA
ZIP 52242-009
Phone: (319) 356-1851
Fax: (319) 356-4855

The NPI 1679549737 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/27/2006 and was last updated on 12/10/2008.

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
1	208000000X	Pediatrics		D36106050	ILLINOIS	No
2	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	37386	IOWA	Yes

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
1	I20796	MEDICARE PIN	IOWA
2	036106050	MEDICAID	ILLINOIS
3	70050	OTHER	IOWA	WELLMARK BCBS
4	K10084	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
5	I16498	MEDICARE UPIN
6	I0923139	MEDICARE PIN	IOWA

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: 4/28/2024

NPI Synchronization or Removal

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