Eugene Basham, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL1889 Issued in FL

Practice address

2601 Village Blvd Apt 202
West Palm Beach, FL 33409-6904

Phone

(818) 470-7841

NPI assigned

Dec 4, 2025

Last updated

Dec 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Gene Basham Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1336002674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 VILLAGE BLVD APT 202",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 VILLAGE BLVD APT 202",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096904",
            "telephone_number": "818-470-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHAM",
        "first_name": "EUGENE",
        "credential": "AT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL1889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENE",
            "last_name": "BASHAM",
            "credential": "AT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kala Bartlett, APRN
• Sally C Bartolucci
• Alexa Bartosiewicz
• Baru Wellness, PLLC
• Martin Bascove, D.O.
• Hal J Bashein, D.O.
• Nicole Ann Basile, MD
• Daniel Cummings Bass, DMD
• Erica Lenise Bass
• Maria Bastawros

• Athletic Trainer in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.