Individual provider Active NPI

Brett Alan Basden, O.D.

  • Optometrist
  • Auburn, AL
National Provider Identifier
1134217672
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S765TA139 Issued in AL
Practice address
780 N Dean Rd
Auburn, AL 36830-4300
Phone
(334) 887-6621
Fax
(334) 826-2059
NPI assigned
Oct 10, 2006
Last updated
Aug 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S765TA139 AL Primary

Addresses

Primary practice location

780 N Dean Rd
Auburn, AL 36830-4300

Mailing address

780 N Dean Rd
Auburn, AL 36830-4300
Phone (334) 887-6621

Other identifiers 1

IdentifierTypeStateIssuer
529926610MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060111000382 AL Practitioner - Optometry 9335162965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Basden EyecareGroup PAC ID 4981627502, 12 clinicians

Practice addresses (Care Compare)

780 N Dean Rd
Auburn, AL 36830-4300
Phone (334) 887-6621

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S765TA139ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
S. Douglas Owens, M.D., P.C. PastSince Jan 1, 2006 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1134217672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 N DEAN RD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304300",
            "telephone_number": "334-887-6621",
            "fax_number": "334-826-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 N DEAN RD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304300",
            "telephone_number": "334-887-6621",
            "fax_number": "334-826-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASDEN",
        "first_name": "BRETT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S765TA139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529926610",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.