Experience Bassam, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EXPERIENCE BASSAM, LLC

Practice address

8020 N 56TH St
Tampa, FL 33617-7600

Phone

(813) 397-8066

NPI assigned

Jul 25, 2025

Organization subpart

No

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

Authorized official

Name

Lee Dawson Sr.

Title

MGR

Phone

(813) 397-8066

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1396627717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 N 56TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336177600",
            "telephone_number": "813-397-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 N 56TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336177600",
            "telephone_number": "813-397-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCE BASSAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "813-397-8066",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.