Mauricio Dionisio Bas Jr., M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

0101022428 Issued in VA

Practice address

1970 Opitz Blvd
Woodbridge, VA 22191-3304

Phone

(703) 494-8174

Fax

(703) 730-2155

NPI assigned

Oct 11, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Mauricio D. Bas, Jr., M.D., P.C.

  • Vascular Surgery Physician
  • Woodbridge, VA
  • NPI 1912028531

  Vascular Surgery

  NPD (past) Authorized official
• Total Spine Chiropractic Clinic, LLC

  • Chiropractor
  • Woodbridge, VA
  • NPI 1649533100
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437247756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4806",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221944806",
            "telephone_number": "703-494-8174",
            "fax_number": "703-730-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 OPITZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913304",
            "telephone_number": "703-494-8174",
            "fax_number": "703-730-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAS",
        "first_name": "MAURICIO",
        "middle_name": "DIONISIO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101022428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7449569",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barrat Behavioral Health and Consulting
• Joyce Ann Barry
• Laura Gray Bartenstein, CCC-SLP
• Mary Bartley
• Bakhtiar Barznji, MD
• Sherry L Basham, RDH
• Dristi Basnet
• Stella Basoah
• Erdeneshagai Bat-Erdene, DPT
• Samuel Bates, LMFT

• All providers in Woodbridge, VA
• Vascular Surgery Physician in Virginia

• 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.