Colin David Bashaw, DO
Military Health Care Provider in Fort Bragg, NC. Individual provider (NPI-1).
NPI number1255035713
StatusActive
Last updated in NPPESAug 24, 2026
Details
- NPI
- 1255035713
- Entity type
- Individual (NPI-1)
- Name
- Colin David Bashaw
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2023
- Certification date
- Aug 24, 2026
- Last updated
- Aug 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171000000X | Military Health Care Provider | 0102208908 | VA | Yes |
Practice location
2817 Rock Merritt AveFort Bragg, NC 28310-0001
Phone 910-907-8922 · Fax 910-907-6069
Mailing address
2817 Rock Merritt AveFort Bragg, NC 28310-0001
Phone 910-907-8922 · Fax 910-907-6069
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