Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Basil D. Fossum, M.D., F.A.C.S.

Urology Physician in Fort Walton Beach, FL · enumerated 2007 · authorized official April Hughes, Office Manager.

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

National Provider Identifier

1235326026

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Registry record

Entity type Organization (Type 2)

Legal business name Basil D. Fossum, M.D., F.A.C.S.

Other name <Unavail>

Practice address 914 Mar Walt Dr Ste B, Fort Walton Beach, FL, 32547

Phone (850) 266-5722

Fax (850) 862-8564

Enumeration date Sep 26, 2007

Last updated in NPPES Dec 14, 2020

Taxonomy & classification

208800000X Urology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name April Hughes

Title Office Manager

Phone (850) 226-6572

Other identifiers

Identifier	Type	State	Issuer
ME53505	Other	FL	MEDICAL LICENSE

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.

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Frequently asked questions

Where is Basil D. Fossum, M.D., F.A.C.S. located?

The practice location on file with NPPES is in Fort Walton Beach, FL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-12-14. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Basil D. Fossum, M.D. PA Urology Physician · Fort Walton Beach, FL NPI 1154911527

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-12-14.