Jacob Halum Basham, MD
NPI 1376106682ActiveIndividual· Pediatrics· Gallatin, TN
Pediatrics (MD) in Gallatin, Tennessee, licensed in TN, with an NPI issued in April 2019. Enrolled in Medicare as practitioner - pediatric medicine. Cranial Technologies, Inc reported $15.08 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1376106682 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 22, 2019 |
| Last updated in NPPES | May 22, 2024 |
| Certified by provider | May 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 70054 | TN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (TN) |
|---|
Industry payments (Open Payments)
- 2025$15.08 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Cranial Technologies, Inc | $15.08 | 1 |
What the 2025 payments were for
- Food and Beverage$15.08 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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