Individual provider Active NPI

Robert L. Bashore, M.D.

  • Plastic Surgery Physician
  • Merritt Island, FL
National Provider Identifier
1154431195
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME37582 Issued in FL
Practice address
280 N Sykes Creek Pkwy
Suite a
Merritt Island, FL 32953-3491
Phone
(321) 452-3882
Fax
(321) 454-7736
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME37582 FL Primary

Addresses

Primary practice location

280 N Sykes Creek Pkwy
Suite a
Merritt Island, FL 32953-3491

Mailing address

280 N Sykes Creek Pkwy
Suite a
Merritt Island, FL 32953-3491
Phone (321) 452-3882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101025000155 FL Practitioner - Plastic and Reconstructive Surgery 1153355318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

280 N Sykes Creek Pkwy
Suite a
Merritt Island, FL 32953-3491
Phone (321) 452-3882

Hospital & facility affiliations

  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy13
Melanoma (skin cancer) excision163
Removal of skin lesions1-10
Removal or shaving of skin growth11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Harrigan Health and Wellness, LLC Plastic Surgery CurrentSince Sep 1, 2021 Accepting new patients

Locations

280 N Sykes Creek Pkwy
Ste A
Merritt Island, FL 32953
Phone (321) 452-3882

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154431195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 N SYKES CREEK PKWY",
            "address_2": "SUITE A",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533491",
            "telephone_number": "321-452-3882",
            "fax_number": "321-454-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N SYKES CREEK PKWY",
            "address_2": "SUITE A",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533491",
            "telephone_number": "321-452-3882",
            "fax_number": "321-454-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHORE",
        "first_name": "ROBERT",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME37582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.