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

Individual provider Obstetrics & Gynecology Physician · NPI 1164764890

Dr. Jessica Marie Basham, MD is an Obstetrics/Gynecology in South Bend, Indiana. Graduated from Indiana University School of Medicine in 2013, 13 years ago. Practices with The South Bend Clinic LLC, a 170-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
13
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2013
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

515 N Lafayette Blvd
South Bend, IN 46601-1003
Phone: (574) 232-2037
Fax: (574) 232-1470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3000 Arlington Ave, Toledo, OH 43614-2595 — (419) 383-4244

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 01078045A (IN)

Record details

NPI number1164764890
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2013
Last updated in NPPESJanuary 10, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice The South Bend Clinic Llc — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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