Physician Assistant
KEITH BASHAM Physician Assistant
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1124329339 · enumerated 2010-11-04 · record updated 2025-05-16. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 7704 2ND ST NW STE A, ALBUQUERQUE, NM, 87107-6755 (505) 873-7400 Google Maps Apple Maps OpenStreetMap
- Mailing address 2001 CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM, 87105-4592 (505) 873-7400 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 3117 CO
- Physician Assistant 363A00000X · Primary · License PA2011-0057 NM
In this directory
Locations and evidence
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Practice location
ALBUQUERQUE, NM, 871076755
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.