NPIMap

Organization Active NPI

Harry Bass, M.D., P.a.

  • Internal Medicine Physician
  • Las Cruces, NM
National Provider Identifier
1023277100
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
77-5 Issued in NM
Legal business name
HARRY BASS, M.D., P.A.
Practice address
2425 S Telshor Blvd
Las Cruces, NM 88011-5049
Phone
(575) 522-0330
Fax
(575) 522-8620
NPI assigned
Jun 4, 2008
Last updated
Oct 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Harry Bass, M.D., P.A.NPI 1952398364
Title
President/Physician
Phone
(575) 522-0330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 77-5 NM Primary

Addresses

Primary practice location

2425 S Telshor Blvd
Las Cruces, NM 88011-5049

Mailing address

2425 S Telshor Blvd
Las Cruces, NM 88011-5049
Phone (575) 522-0330

Other identifiers 4

IdentifierTypeStateIssuer
00NM000242OtherBCBS
524571OtherFIRST HEALTH LIFE AND HEALTH INSURANCE CO.
201000575OtherPRESBYTERIAN HEALTH PLAN
42184371MedicaidNM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1023277100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115049",
            "telephone_number": "575-522-0330",
            "fax_number": "575-522-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115049",
            "telephone_number": "575-522-0330",
            "fax_number": "575-522-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY BASS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "575-522-0330",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "77-5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00NM000242",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH LIFE AND HEALTH INSURANCE CO.",
            "identifier": "524571",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLAN",
            "identifier": "201000575",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42184371",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.