Lotfi Bashir, M.D.

Individual provider Active NPI Pediatrics Physician · Selma, AL

NPI 1437251998 · NPPES record last updated Sep 16, 2008

Key facts

NPI
1437251998
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
14339 (AL)
Practice address
1225 Medical Center Pkwy
Selma, AL 36701-6797
Phone
(334) 872-9410
Fax
(334) 872-9411
NPI assigned
Sep 3, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14339ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Selma Peditrics, P.C. Pediatrics Past Accepting new patients
Vaughan Regional Medical Center LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lbashir@1767.securemail.prognocis.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 14339 AL Yes

Addresses

Primary practice location

1225 Medical Center Pkwy
Selma, AL 36701-6797

Mailing address

1225 Medical Center Pkwy
Selma, AL 36701-6797
Phone (334) 872-9410

Other identifiers

IdentifierTypeStateIssuer
000080331MedicaidAL

Other providers in Selma, AL

All providers in Selma, AL · Pediatrics Physician in Alabama

Sources for this page

Verify at the official NPI Registry.