Leon Bass Jr., NRP

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

P024529 Issued in NC

Practice address

6280 Sunny Point Rd
BLDG 44
Southport, NC 28461-7800

Phone

(910) 457-8218

NPI assigned

Sep 7, 2018

Last updated

Apr 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunny Point Fire & Rescue

  • Emergency Medical Services (Emergency Medicine) Physician
  • Southport, NC
  • NPI 1871095356
  NPD

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1205319050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 FIRE TOWER RD",
            "city": "RICHLANDS",
            "state": "NC",
            "postal_code": "285748161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 SUNNY POINT RD",
            "address_2": "BLDG 44",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284617800",
            "telephone_number": "910-457-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "LEON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NRP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-07",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NC",
            "license": "P024529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avila Dermatology PLLC (Southport Dermatology)
• Christina L Avila, MD
• John A Azzato, MD
• Heather Diane Barnett
• Lia Cristine Baroncini, PT
• Arlene F Bauer, LPC
• Cheryl Lynn Beck
• Benchmark Physical Therapy of NC, LLC
• Matthew Benko, OD
• Charles Benoit

• Emergency Medical Services (Emergency Medicine) Physician in Southport, NC
• Providers in Southport, NC by specialty
• Emergency Medical Services (Emergency Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.