Individual provider Active NPI

Trevor Julian Bassett, MD

  • Pediatrics Physician
  • Lubbock, TX
National Provider Identifier
1073205902
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
W5264 Issued in TX
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

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230717003601 TX Order and Referring Only - Pediatric MedicinePractitioner - 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

LicenseStateTypeSpecialty
BP10083596TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock PastSince May 28, 2023 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.

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

Verify at the official NPI Registry.