Bassam Mawla, D.C

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

3120 Issued in MA

Practice address

1145 Main St
Suite 107
Springfield, MA 01103-2143

Phone

(413) 358-0050

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

Yes

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)

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 and National Provider Directory roles.

• Bass Chiropractic & Physical Therapy

  • Rehabilitation Chiropractor
  • Springfield, MA
  • NPI 1073704607
  NPD (past) Authorized official
• Advanced Spine Centers, Inc

  • Chiropractor
  • Lowell, MA
  • NPI 1306850201
  NPD (past)
• Medical Express Urgent Care Center, Co. Inc.

  • Physical Medicine & Rehabilitation Physician
  • Springfield, MA
  • NPI 1255691846
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376672014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 CHERRELYN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042441",
            "telephone_number": "413-732-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 MAIN ST",
            "address_2": "SUITE 107",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032143",
            "telephone_number": "413-358-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAWLA",
        "first_name": "BASSAM",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MA",
            "license": "3120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Mattson, AG-ACNP-BC
• Boonyanuth Maturostrakul, MD
• Gwendolyn Patricia Mauceri, PHARMD
• Priyanka Aarti Maudgal
• Stephany Mauricio
• Mohammed Mawla, D.O.
• Patricia Maxam, NP
• Terry Sylvester Maxey
• Lealani Evelyn Maxwell-Mason
• Kelly-Ann Maxwell

• Rehabilitation Chiropractor in Springfield, MA
• Providers in Springfield, MA by specialty
• Rehabilitation Chiropractor in Massachusetts

• 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.

Verify at the official NPI Registry.