Active NPI
John B Bassel, MD
- Internal Medicine Physician
- Clarksville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD6465
- Practice address
- 282 Clear Sky CT
Clarksville, TN 37043-5653 - Phone
- (931) 647-1199
- Fax
- (931) 647-7010
- NPI assigned
- Sep 13, 2005
- Last updated
- Aug 11, 2015
- 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 | MD6465 | TN | Primary |
Addresses
Primary practice location
282 Clear Sky CT
Clarksville, TN 37043-5653
Mailing address
2147 Riverchase Office Rd
Birmingham, AL 35244-1836
Phone (205) 403-8902
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103I118651 | Other | TN | MEDICARE PTAN |
| 187409 | Other | TN | TENNCARE BCBS |
| 3806531 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Tennessee, HSC, College of Medicine, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
920 S Willow Ave
Cookeville, TN 38501-4150
Phone (931) 303-0889
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD6465 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebben Physical Medicine, LLC | Current | Accepting new patients | |
| Specialty Care | Current | Accepting new patients | |
| Spero Health of Tennessee, LLC | Current | Accepting new patients | |
| Nebben Chiropractic Center | Past | Accepting new patients |
Locations
155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359
282 Clear Sky Ct
Clarksville, TN 37043
Phone (931) 647-1199
920 S Willow Ave
Cookeville, TN 38501
Phone (931) 525-6059
1846 S Main St
Ste 103
Crossville, TN 38555
Phone (931) 340-5065
766 Tennessee Ave S
Parsons, TN 38363
Phone (731) 847-7772
301 Wolverine Trl
Ste 200
Smyrna, TN 37167
Phone (615) 459-5228
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/sperohealth/r4/
Organizations & group practices 4
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Smyrna, TN
- NPI 1538628904
-
- General Practice Physician
- Clarksville, TN
- NPI 1114317260
-
- Multi-Specialty Clinic/Center
- Parsons, TN
- NPI 1386316354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1346235629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2147 RIVERCHASE OFFICE RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352441836",
"telephone_number": "205-403-8902",
"fax_number": "205-982-0278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 CLEAR SKY CT",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370435653",
"telephone_number": "931-647-1199",
"fax_number": "931-647-7010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSEL",
"first_name": "JOHN",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "MD6465",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "103I118651",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNCARE BCBS",
"identifier": "187409",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3806531",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.