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

Nidal Bassam Omar

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639565294

Nidal Bassam Omar is a Neurosurgery in Mobile, Alabama. Graduated from University of Alabama School of Medicine in 2015, 11 years ago. Practices with Imc-Neurosurgery LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
11
Trained at
University of Alabama School of Medicine
Licensed in
AL
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

3 Mobile Infirmary Cir Ste 410
Mobile, AL 36607-3512
Phone: (251) 232-3314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence MD.36032 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639565294
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 10, 2015
Last updated in NPPESJanuary 13, 2023
Certification dateJanuary 13, 2023

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Imc-Neurosurgery Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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