Individual
TIMOTHY DAVID BASSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1781 COMMONS NORTH LOOP, TUSCALOOSA, AL 35406-3577
(205) 750-0447
(205) 750-0276
Mailing address
1781 COMMONS NORTH LOOP, TUSCALOOSA, AL 35406-3577
(205) 750-0447
(205) 750-0276
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
00018074
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051527770
—
AL
01
—
51527770
BCBS
AL
Enumeration date
12/05/2005
Last updated
10/19/2017
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