Leonard C Bass MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME14256 Issued in FL

Legal business name

LEONARD C BASS MD PA

Practice address

9750 NW 45TH MNR
Coral Springs, FL 33065-1514

Phone

(954) 873-8545

Fax

(954) 587-7577

NPI assigned

Sep 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Leonard Channing Bass, MD

Title

President

Phone

(954) 873-8545

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1386746774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101330",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333101330",
            "telephone_number": "954-873-8545",
            "fax_number": "954-587-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 NW 45TH MNR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651514",
            "telephone_number": "954-873-8545",
            "fax_number": "954-587-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD C BASS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "CHANNING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-873-8545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME14256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373957100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Leiva, MOT
• Cheryl Anne Lennard, O.D.
• Dawna Leno-Dixon, MSW
• Brian M Leo, MD
• Pierre Leon, PH.D.
• Lauren M Leonardi, LMHC
• Nicole Marie Leos, LMFT
• Cherelle Monique Bevolyn-May Leslie, MD
• Let'S Talk 4 Health, LLC
• Let'S Talk Psychiatry Inc

• Family Medicine Physician in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.