Active NPI
David Wells Bass, M.D.
- Internal Medicine Physician
- Little Rock, AR
National Provider Identifier
1013936657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 06137R
- Practice address
- 900 S Shackleford Rd
Little Rock, AR 72211-3817 - Phone
- (501) 228-9001
- Fax
- (501) 228-9009
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 06137R | LA | Primary |
Addresses
Primary practice location
900 S Shackleford Rd
Little Rock, AR 72211-3817
Mailing address
13240 Rivercrest Dr
Little Rock, AR 72212-1453
Phone (501) 944-0170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06137R | LA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492732800000",
"number": "1013936657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13240 RIVERCREST DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722121453",
"telephone_number": "501-944-0170",
"fax_number": "501-228-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S SHACKLEFORD RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722113817",
"telephone_number": "501-228-9001",
"fax_number": "501-228-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "DAVID",
"middle_name": "WELLS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2017-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "06137R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.