Active NPI
Trevor Julian Bassett, MD
- Pediatrics Physician
- Lubbock, TX
National Provider Identifier
1073205902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- W5264
- Practice address
- 4004 82ND St
Lubbock, TX 79423-2065 - Phone
- (806) 743-7800
- Fax
- (806) 743-7651
- NPI assigned
- May 22, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | W5264 | TX | Primary |
Addresses
Primary practice location
4004 82ND St
Lubbock, TX 79423-2065
Mailing address
3210 Oakridge Ave
Lubbock, TX 79407-1853
Other practice location 1
3601 4th St
Lubbock, TX 79430-0002
Phone (806) 743-7335
Other practice location 2
3502 9th St Ste 130
Lubbock, TX 79415-3367
Phone (806) 743-1188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230717003601 | TX | Order and Referring Only - Pediatric Medicine | 4789044181 |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3601 4TH St
Lubbock, TX 79430-0001
3601 4TH St
Stop 6211
Lubbock, TX 79430-6211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10083596 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba TTUHSC - Anesthesiology
- Anesthesiology Physician
- Lubbock, TX
- NPI 1306894175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1073205902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 OAKRIDGE AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794071853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4004 82ND ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794232065",
"telephone_number": "806-743-7800",
"fax_number": "806-743-7651"
}
],
"practiceLocations": [
{
"address_1": "3601 4th St",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794300002",
"country_code": "US",
"telephone_number": "806-743-7335",
"fax_number": "806-743-7329",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3502 9th St Ste 130",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794153367",
"country_code": "US",
"telephone_number": "806-743-1188",
"fax_number": "806-743-1187",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASSETT",
"first_name": "TREVOR",
"middle_name": "JULIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-22",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "W5264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.