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

Dr. Jacob Halum Basham, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376106682

Dr. Jacob Halum Basham, MD is a Student in an Organized Health Care Education/Training Program in Gallatin, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

648 Hartsville Pike
Gallatin, TN 37066-2523
Phone: (615) 322-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2200 Childrens Way, Nashville, TN 37232-0005 — (615) 936-2555

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 70054 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376106682
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 22, 2019
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024
Mailing address3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691

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