Gilles Bastille, M.D.
Family Medicine in Ft Payne, AL. Individual provider (NPI-1).
NPI number1790798346
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790798346
- Entity type
- Individual (NPI-1)
- Name
- Gilles Bastille
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 00009111 | AL | Yes |
Practice location
1040 Glenn Blvd SwFt Payne, AL 35967-8413
Phone 256-845-6900 · Fax 256-845-6911
Mailing address
1040 Glenn Blvd SwFt Payne, AL 35967-8413
Phone 256-845-6900 · Fax 256-845-6911
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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