Individual provider Active NPI

Brian E. Basham, MD

  • Family Medicine Physician
  • Springfield, MO
National Provider Identifier
1376617274
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R7P13 Issued in MO
Practice address
1300 E Bradford Pkwy
Springfield, MO 65804-4264
Phone
(417) 767-2273
NPI assigned
Nov 20, 2006
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R7P13 MO Primary

Addresses

Primary practice location

1300 E Bradford Pkwy
Springfield, MO 65804-4264

Mailing address

1059 Barton Dr
Fordland, MO 65652-7350
Phone (417) 767-2273

Other practice location 1

4016 Main St
Cassville, MO 65625-9753
Phone (417) 847-0057

Other practice location 2

1059 Barton Dr
Fordland, MO 65652-7350
Phone (417) 767-2273

Other practice location 3

11863 State Highway 13
Kimberling City, MO 65686-8362
Phone (417) 739-1995

Other identifiers 1

IdentifierTypeStateIssuer
203173505MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20110210000423 MO Practitioner - Family Practice 7719167543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fordland Clinic, Inc.Group PAC ID 5597794552, 10 clinicians

Practice addresses (Care Compare)

1300 E Bradford Pkwy
Springfield, MO 65804-4264
Phone (417) 767-2273

Merit-based Incentive Payment System (MIPS)

Final score
98.15 of 100Reported as apm
Quality
88.15
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Tri-County Health Care Consortium Current Accepting new patients
Fordland Clinic, Inc. CurrentSince Apr 21, 2025 Accepting new patients
Ozark Tri-County Health Care Consortium CurrentSince Dec 25, 2010 Accepting new patients
Ozark Tri-County Health Care Consortium CurrentSince Dec 25, 2010 Accepting new patients
Fordland Clinic, Inc. Current Accepting new patients

Locations

927 N Highway 71
Anderson, MO 64831
Phone (417) 845-2273

4016 Main St
Cassville, MO 65625
Phone (417) 847-0057

1059 Barton Dr
Fordland, MO 65652
Phone (417) 767-2100

530 S Maiden Ln
Joplin, MO 64801
Phone (417) 223-4385

1300 E Bradford Pkwy
Springfield, MO 65804
Phone (417) 269-5400

Interoperability endpoints

  • Direct secure messaging: bbasham@11ef84f8.micromddirect.com

Organizations & group practices 5

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1376617274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 BARTON DR",
            "city": "FORDLAND",
            "state": "MO",
            "postal_code": "656527350",
            "telephone_number": "417-767-2273",
            "fax_number": "417-767-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E BRADFORD PKWY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044264",
            "telephone_number": "417-767-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4016 Main St",
            "address_purpose": "LOCATION",
            "city": "Cassville",
            "state": "MO",
            "postal_code": "656259753",
            "country_code": "US",
            "telephone_number": "417-847-0057",
            "fax_number": "417-847-0079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1059 Barton Dr",
            "address_purpose": "LOCATION",
            "city": "Fordland",
            "state": "MO",
            "postal_code": "656527350",
            "country_code": "US",
            "telephone_number": "417-767-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11863 State Highway 13",
            "address_purpose": "LOCATION",
            "city": "Kimberling City",
            "state": "MO",
            "postal_code": "656868362",
            "country_code": "US",
            "telephone_number": "417-739-1995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASHAM",
        "first_name": "BRIAN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R7P13",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203173505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.