Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Albert Robert Bassett, PACERTIFIED

Individual provider Medical Physician Assistant · NPI 1457628539

Albert Robert Bassett, PACERTIFIED is a Medical Physician Assistant in Fort Campbell, Kentucky. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2011
Specialties on file
2

Practice location Address checks out

7265 Nightstalker Way
Fort Campbell, KY 42223-5151
Phone: (270) 798-3969
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1097188 (IL)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1457628539
Entity typeIndividual (Type 1)
GenderMale
Credentials PACERTIFIED
Sole proprietorYes
NPI enumeratedNovember 17, 2011
Last updated in NPPESJanuary 5, 2022
Certification dateJanuary 5, 2022

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