Active NPI
Robert Redwood Bass, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Baltimore, MD
National Provider Identifier
1194857797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- D0046611
- Practice address
- 653 W Pratt St
Baltimore, MD 21201-1536 - Phone
- (410) 706-5074
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0046611 | MD | MD | Emergency Medical Services (Emergency Medicine) Physician |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | D0046611 | MD | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
653 W Pratt St
Baltimore, MD 21201-1536
Mailing address
653 W Pratt St
Baltimore, MD 21201-1536
Phone (410) 706-5074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194857797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "653 W PRATT ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011536",
"telephone_number": "410-706-5074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 W PRATT ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011536",
"telephone_number": "410-706-5074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "ROBERT",
"middle_name": "REDWOOD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MD",
"license": "D0046611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.