Michael a. Basco M.D. PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

H5151 Issued in TX

Legal business name

MICHAEL A. BASCO M.D. PA

Practice address

1903 Doctors Hospital Dr
Suite 36
Bridgeport, TX 76426-2269

Phone

(940) 683-0127

Fax

(940) 683-2270

NPI assigned

Jan 13, 2009

Last updated

Aug 24, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Angelo Basco, M.D.

Title

President

Phone

(940) 683-0127

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1003053075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 DOCTORS HOSPITAL DR",
            "address_2": "SUITE 36",
            "city": "BRIDGEPORT",
            "state": "TX",
            "postal_code": "764262269",
            "telephone_number": "940-683-0127",
            "fax_number": "940-683-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 DOCTORS HOSPITAL DR",
            "address_2": "SUITE 36",
            "city": "BRIDGEPORT",
            "state": "TX",
            "postal_code": "764262269",
            "telephone_number": "940-683-0127",
            "fax_number": "940-683-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. BASCO M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "BASCO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANGELO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-683-0127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H5151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136435807",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles L Mauldin, RPH
• Jacob Mayberry, AS-C
• Timothy W McIntyre, MD
• Christine Rene Meredith, LCSW
• Noemi Araceli Meza
• Whitney Victoria Miller, FNP-C
• Michael A Millis, P.A.-C
• Linda Sue Montgomery, CPHT
• Anna Leigh Morgan, LPC ASSOCIATE
• William Newsom

• Obstetrics & Gynecology Physician in Bridgeport, TX
• Providers in Bridgeport, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.