Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Bradley S Basham, O.D.

Optometrist in Fort Wayne, IN · enumerated 2005 · practices at Fort Wayne Family Eyecare.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477547628

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Registry record

Entity type Individual (Type 1)

Name Dr. Bradley S Basham

Credential O.D.

Sex Male

Practice address 1515 E Paulding Rd, Fort Wayne, IN, 46816

Phone (260) 744-2273

Fax (260) 744-4555

Enumeration date Sep 2, 2005

Last updated in NPPES Jun 10, 2015

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 18002201 (IN) Primary

OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier	Type	State	Issuer
100053350	Medicaid	IN	-
100053350A	Medicaid	IN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Bradley Basham's NPI record?

Cross-check NPI 1477547628 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1477547628 active?

Yes, as of the latest NPPES snapshot, NPI 1477547628 is active (record last updated 2015-06-10).

Other providers at this practice address

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Patrice Ellingson Optometrist · Fort Wayne, IN NPI 1639163884 Fort Wayne Family Eyecare Optometrist · Fort Wayne, IN NPI 1396778882

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-06-10.