Individual provider Active NPI

Bassam Alhaddad, LP BOCP

  • Prosthetics Case Management
  • Laredo, TX
National Provider Identifier
1437408556
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
1129 Issued in TX
Practice address
201 W Hillside Rd
Suite 25
Laredo, TX 78041-3196
Phone
(956) 717-9400
NPI assigned
Sep 5, 2012
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X 1129 TX Primary

Addresses

Primary practice location

201 W Hillside Rd
Suite 25
Laredo, TX 78041-3196

Mailing address

201 W Hillside Rd
Suite 25
Laredo, TX 78041-3196

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1129TXMDProsthetics Case Management

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Prosthetics, Inc. Current Accepting new patients

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, 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": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1437408556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W HILLSIDE RD",
            "address_2": "SUITE 25",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W HILLSIDE RD",
            "address_2": "SUITE 25",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413196",
            "telephone_number": "956-717-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHADDAD",
        "first_name": "BASSAM",
        "credential": "LP BOCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-05",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "TX",
            "license": "1129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.