GLENN IVAN BASCON DO NPI 1821888744

NPI Information

  • NPI: 1821888744
  • Provider Name: GLENN IVAN BASCON, DO
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER
    300 EAST HOSPITAL ROAD
    FORT EISENHOWER, GA
    ZIP 30905
  • Phone: (706) 787-9399

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NPI Details

Glenn Ivan Bascon, DO is a student in an organized health care education training program in Fort Eisenhower, GA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Glenn Ivan Bascon, DO NPI is 1821888744. 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:

DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER
300 EAST HOSPITAL ROAD
FORT EISENHOWER, GA
ZIP 30905-650
Phone: (706) 787-9399

The enumeration date for this NPI number is 5/12/2025 and was last updated on 7/10/2025.

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
1390200000XStudent in an Organized Health Care Education/Training Program17475GEORGIAYes

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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